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PRIMROSE RESIDENTIAL FACILITY, AHC Facilities / Community Health

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Stethoscope
Reviews Information on PRIMROSE RESIDENTIAL FACILITY
NPI Number 1003064064
State Identifier(s)
Group Name PRIMROSE RESIDENTIAL FACILITY
Doing business as COMMUNITY BASED RESIDENTIAL FACILITY
Credentials - Lic #: (Wisconsin)
Mailing Address Confidential
Business Address 3910 W BURLEIGH ST
MILWAUKEE, WI 53210-1816

Phone (414) 445-3607 Fax (414) 445-6575
Name SHIRLEY TEMPLE GLADNEY - (ADMINISTRATOR)
Primary Specialty AHC Facilities / Community Health
Additional Specialties
Last Modified 09/03/2008
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