Organization
GROWING TOGETHER PNCC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOLA V ANTHONY (OWNER)
(414) 419-4542
Entity
Organization
Contact information
Practice address
5600 W FOND DU LAC AVE, MILWAUKEE, WI 53216-1222
(414) 419-4542
Mailing address
4937 N 38TH ST, MILWAUKEE, WI 53209-5335
(414) 419-4542
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
01/02/2025
Last updated
01/02/2025
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