Organization
ESSENCE OF A VILLAGE PNCC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTIE L LEGREE (CEO)
(262) 234-1522
Entity
Organization
Contact information
Practice address
3610 SPRING ST, RACINE, WI 53405-1734
(262) 234-1522
Mailing address
3610 SPRING ST, RACINE, WI 53405-1734
(262) 234-1522
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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