Organization
MELANIN MINDED LLC
Active
Organization
MELANIN MINDED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BASHIR R EASTER (CEO)
(414) 234-8160
Entity
Organization
Contact information
Practice address
2623 NORTH 61ST STREET, MILWAUKEE, WI 53213
(414) 234-8160
Mailing address
1301 N 12TH STREET, 05485, MILWAUKEE, WI 53205
(414) 234-8160
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
342000000X
Transportation Network Company
Primary
—
—
Other
Enumeration date
11/22/2021
Last updated
11/22/2021
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