Organization
DIVINE PRENATAL SERVIVES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMORE TYLER (OWNER)
(414) 484-4300
Entity
Organization
Contact information
Practice address
5650 N 64TH ST, MILWAUKEE, WI 53218-2318
(414) 484-4300
Mailing address
5650 N 64TH ST, MILWAUKEE, WI 53218-2318
(414) 484-4300
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
09/27/2022
Last updated
09/27/2022
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