Organization
BEYOND THE HORIZON PRENATAL CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMANIKA J WALTON MA (OWNER)
(414) 394-0793
Entity
Organization
Contact information
Practice address
5401 N 76TH ST STE 101, MILWAUKEE, WI 53218-2746
(414) 317-6435
(414) 210-4302
Mailing address
5401 N 76TH ST STE 101, MILWAUKEE, WI 53218-2746
(414) 317-6435
(414) 210-4302
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
261QB0400X
Birthing Clinic/Center
—
—
Other
Enumeration date
03/23/2023
Last updated
04/05/2023
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