Organization
HEAVEN SENT PNCC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEKARIS I ARMON (OWNER)
(414) 807-9850
Entity
Organization
Contact information
Practice address
3944 N 13TH ST, MILWAUKEE, WI 53206-3016
(414) 807-9850
Mailing address
3944 N 13TH ST, MILWAUKEE, WI 53206-3016
(414) 807-9850
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
09/16/2021
Last updated
09/16/2021
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