Organization
TSWV CHAO VANG CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD CHAO VANG (ADMINISTRATOR)
(414) 988-2503
Entity
Organization
Contact information
Practice address
11010 W HAMPTON AVE, MILWAUKEE, WI 53225-3821
(414) 988-2503
(414) 988-2508
Mailing address
11010 W HAMPTON AVE, MILWAUKEE, WI 53225-3821
(414) 988-2503
(414) 988-2508
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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