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Abundant Grace Adult & Youth Services

Case Manager/Care Coordinator in Milwaukee, WI. Organization (NPI-2).

NPI number1336719640
StatusActive
Last updated in NPPESJun 29, 2021

Details

NPI
1336719640
Entity type
Organization (NPI-2)
Legal business name
Abundant Grace Adult & Youth Services
Organization subpart
No
Enumeration date
Jun 29, 2021
Certification date
Jun 29, 2021
Last updated
Jun 29, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Other names

  • Abundant Grace Adult & Youth Services (Former Legal Business Name)

Practice location

8430 W Capitol Dr
Milwaukee, WI 53222-1846

Phone 414-462-0750

Mailing address

8430 W Capitol Dr
Milwaukee, WI 53222-1846

Phone 414-462-0750

Authorized official

Jocelyn Wright Hall
Executive Director
4142489271

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