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Organization

ISLANDS OF BRILLIANCE

Active
Other names
Islands of Brilliance
Organization subpart
No

Provider details

NPI number
Authorized official
MARGARET P. FAIRBANKS (DIRECTOR OF EDUCATION)
(612) 670-7134
Entity
Organization

Contact information

Practice address
415 E MENOMONEE ST, MILWAUKEE, WI 53202-6117
(612) 670-7134
Mailing address
415 E MENOMONEE ST, MILWAUKEE, WI 53202-6117
(612) 670-7134

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
720354
WI

Other

Enumeration date
08/17/2018
Last updated
08/17/2018
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