Provider Demographics
NPI:1316593726
Name:A MOTHER'S LOVE MILWAUKEE, LLC
Entity Type:Organization
Organization Name:A MOTHER'S LOVE MILWAUKEE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:FRANSHEKIA
Authorized Official - Middle Name:T
Authorized Official - Last Name:FALADE
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:414-702-2697
Mailing Address - Street 1:2934 N 55TH ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53210-1561
Mailing Address - Country:US
Mailing Address - Phone:414-702-2697
Mailing Address - Fax:
Practice Address - Street 1:2934 N 55TH ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53210-1561
Practice Address - Country:US
Practice Address - Phone:414-702-2697
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-12
Last Update Date:2019-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management