Organization
LABOR OF LOVE ALLIANCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAYLOR JACKSON MBA (PRESIDENT)
(414) 249-9670
Entity
Organization
Contact information
Practice address
7004 W SANDPIPER CT, MILWAUKEE, WI 53223-2753
(414) 249-9670
Mailing address
7004 W SANDPIPER CT, MILWAUKEE, WI 53223-2753
(414) 249-9670
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100161250
—
WI
Enumeration date
04/17/2021
Last updated
04/17/2021
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