| Gods Worship & Praise Temple, Inc | |
|
6450 W Fond Du Lac Ave Milwaukee WI 53218-4917 | |
| (414) 485-4521 | |
| Not Available |
| Full Name | Gods Worship & Praise Temple, Inc |
|---|---|
| Speciality | Case Management |
| Location | 6450 W Fond Du Lac Ave, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Carol Griffin (OWNER) |
| Authorized Official Contact | 4144854521 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gods Worship & Praise Temple, Inc 6450 W Fond Du Lac Ave Milwaukee WI 53218-4917 Ph: (414) 485-4521 | Gods Worship & Praise Temple, Inc 6450 W Fond Du Lac Ave Milwaukee WI 53218-4917 Ph: (414) 485-4521 |
| NPI Number | 1760188395 |
|---|---|
| Provider Enumeration Date | 02/06/2023 |
| Last Update Date | 02/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760188395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Primary |
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