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Organization

A JOYFUL BUMP, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHAWANDA FORD (DIRECTOR)
(414) 517-7633
Entity
Organization

Contact information

Practice address
5600 W BROWN DEER RD STE 205, BROWN DEER, WI 53223-2346
(414) 517-7633
Mailing address
5600 W BROWN DEER RD STE 205, BROWN DEER, WI 53223-2346
(414) 517-7633

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
252Y00000X
Early Intervention Provider Agency
Primary

Other

Enumeration date
04/03/2023
Last updated
04/03/2023
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