Provider Demographics
NPI:1194041376
Name:THE WOMEN'S COMMUNITY SERVICE CENTER, LLC.
Entity Type:Organization
Organization Name:THE WOMEN'S COMMUNITY SERVICE CENTER, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:A
Authorized Official - Last Name:HAMILTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-324-7223
Mailing Address - Street 1:5519 W LINCOLNSHIRE BLVD
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53223-6340
Mailing Address - Country:US
Mailing Address - Phone:414-324-7223
Mailing Address - Fax:
Practice Address - Street 1:5519 W LINCOLNSHIRE BLVD
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53223-6340
Practice Address - Country:US
Practice Address - Phone:414-324-7223
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-13
Last Update Date:2012-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management