Organization
FOREVER WORTHY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SHAKAYLA DIMITRIONA ANDERSON (OWNER)
(414) 306-1059
Entity
Organization
Contact information
Practice address
1803 S 92ND ST APT 107, MILWAUKEE, WI 53214-4288
(414) 306-1059
Mailing address
1803 S 92ND ST APT 107, MILWAUKEE, WI 53214-4288
(414) 306-1059
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
04/05/2021
Last updated
04/05/2021
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