Organization
TENDER CARE SUPPORTIVE LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DELLAREESE WILLIAMS B.S. (DIRECTOR)
(414) 678-8767
Entity
Organization
Contact information
Practice address
3746 N 5TH ST, MILWAUKEE, WI 53212-4120
(414) 678-8767
Mailing address
3746 N 5TH ST, MILWAUKEE, WI 53212-4120
(414) 678-8767
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
W4521768961102
WI
Other
Enumeration date
05/02/2016
Last updated
05/02/2016
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