A New Way 2 Live Llc | |
2417 Springdale Rd Apt 3a Waukesha WI 53186-2764 | |
(414) 676-4381 | |
Not Available |
Full Name | A New Way 2 Live Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 2417 Springdale Rd Apt 3a, Waukesha, Wisconsin |
Authorized Official Name and Position | Zakkiyya Fahmeeda Salahadyn (OWNER OPERATOR) |
Authorized Official Contact | 4146764381 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
A New Way 2 Live Llc 2417 Springdale Rd Apt 3a Waukesha WI 53186-2764 Ph: (414) 676-4381 | A New Way 2 Live Llc 2417 Springdale Rd Apt 3a Waukesha WI 53186-2764 Ph: (414) 676-4381 |
NPI Number | 1518556158 |
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Provider Enumeration Date | 01/17/2021 |
Last Update Date | 01/17/2021 |
Certification Date | 01/17/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518556158 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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