Primrose Residential Facility

NPI #1003064064 in Milwaukee, Wisconsin

Provider Information

NPI Number
1003064064
Entity Type
Organization
Organization Name
Primrose Residential Facility
Primary Specialty
Clinic/Center - Community Health
Enumeration Date
Sep 3, 2008
Last Updated
Sep 3, 2008

Practice Location

Address
3910 W BURLEIGH ST
ZIP Code
53210-1816
Phone
(414) 445-3607

Authorized Official

Name
MRS. SHIRLEY TEMPLE GLADNEY, RN
Title
ADMINISTRATOR
Phone
(414) 445-3607

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Community HealthCommunity Health

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