Organization
PARENT CHOICE PNCC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LATICE EVANS (CARE COORDINATOR)
(414) 750-0836
Entity
Organization
Contact information
Practice address
5032 N 33RD ST, MILWAUKEE, WI 53209-5433
(414) 750-0836
Mailing address
5032 N 33RD ST, MILWAUKEE, WI 53209-5433
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
02/26/2021
Last updated
02/26/2021
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