Organization
SWEET BLESSINGS PNCC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KEANA M ALLEN (OWNER/CEO)
(414) 336-4850
Entity
Organization
Contact information
Practice address
2619 N 58TH ST, MILWAUKEE, WI 53210-2238
(414) 336-4850
(414) 269-9562
Mailing address
2619 N 58TH ST, MILWAUKEE, WI 53210-2238
(141) 433-6485
(414) 269-9562
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100165767
—
WI
Enumeration date
06/27/2021
Last updated
06/27/2021
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