Organization
SOVEREIGNS CIRCLE OF LOVE PRENATAL ASSESSMENT PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE HARMON RN (OWNER)
(414) 534-6778
Entity
Organization
Contact information
Practice address
3125 W MICHIGAN ST, MILWAUKEE, WI 53208-4060
(414) 534-6778
Mailing address
3125 W MICHIGAN ST, MILWAUKEE, WI 53208-4060
(414) 534-6778
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
11/28/2022
Last updated
08/01/2023
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