Organization
LOVELY LIFE FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA A JACKSON (OWNER)
(414) 808-4732
Entity
Organization
Contact information
Practice address
5906 N 70TH ST, MILWAUKEE, WI 53218-1816
(414) 808-4732
Mailing address
5906 N 70TH ST, MILWAUKEE, WI 53218-1816
(414) 808-4732
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
07/30/2021
Last updated
07/30/2021
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