Organization
SACRED KRUMBS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNETT HUDSON (OWNER)
(414) 719-0338
Entity
Organization
Contact information
Practice address
3601 N 76TH ST, MILWAUKEE, WI 53222-3008
(414) 719-0338
Mailing address
3601 N 76TH ST, MILWAUKEE, WI 53222-3008
(414) 719-0338
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
05/03/2021
Last updated
05/03/2021
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