Our Daily Bread Community Outreach Center, INC

NPI #1033554373 in Milwaukee, Wisconsin

Provider Information

NPI Number: 1033554373
Entity Type: Organization
Organization Name: Our Daily Bread Community Outreach Center, INC
Primary Specialty: Case Management
Enumeration Date: Apr 30, 2013
Last Updated: Apr 30, 2013

Practice Location

Address: 6040 W LISBON AVE
Address 2: SUITE 203
City: Milwaukee
State: Wisconsin
ZIP Code: 53210-2116
Phone: (414) 255-8595

Authorized Official

Name: MRS. LEA LAVONDA KYLE-LEWIS
Title: CHIEF EXECUTIVE
Phone: (414) 349-4521

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X	Primary

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