Hands of Life Pncc LLC

NPI #1033836549 in Milwaukee, Wisconsin

Provider Information

NPI Number: 1033836549
Entity Type: Organization
Organization Name: Hands of Life Pncc LLC
Primary Specialty: Case Management
Enumeration Date: Oct 25, 2022
Last Updated: Oct 25, 2022

Practice Location

Address: 915 W NORTH AVE
City: Milwaukee
State: Wisconsin
ZIP Code: 53205-1330
Phone: (859) 550-0252

Authorized Official

Name: BRENDA C VALENTINE JACKSON
Title: ADMINISTRATOR
Phone: (859) 550-0252

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X	Primary

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