Organization
MOMMIES HAVEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAKARIS M DAVIS (OWNER)
(414) 702-5349
Entity
Organization
Contact information
Practice address
4502 N 39TH ST, MILWAUKEE, WI 53209-5804
(414) 702-5349
Mailing address
9129 BELVEDERE DR, FORT WORTH, TX 76244-6215
(414) 702-5349
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
09/23/2021
Last updated
09/23/2021
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