Organization
HEAVEN SENT PRENATAL CARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIUS R MALONE JR. (OWNER)
(262) 599-4683
Entity
Organization
Contact information
Practice address
9418 N GREEN BAY RD APT 333, BROWN DEER, WI 53209-1072
(262) 599-4683
Mailing address
9418 N GREEN BAY RD APT 333, BROWN DEER, WI 53209-1072
(262) 599-4683
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
02/17/2021
Last updated
02/17/2021
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