Organization
ENLIGHTEN PERSONAL CARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LEOLA MAE WILLIAMS MS, CSAC, LPC-IT (EXECUTIVE DIRECTOR)
(414) 248-7533
Entity
Organization
Contact information
Practice address
3565 N MARTIN LUTHER KING DR, MILWAUKEE, WI 53212-1459
(414) 248-7533
(414) 444-8432
Mailing address
3565 N MARTIN LUTHER KING DR, MILWAUKEE, WI 53212-1459
(414) 248-7533
(414) 444-8432
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/01/2017
Last updated
02/01/2017
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