NPI 1003064064

Primrose Residential Facility

Organisation Community Health Clinic/Center Milwaukee, WI

Practice location

Address: 3910 W Burleigh St, Milwaukee, WI 53210-1816
Phone: (414) 445-3607
Fax: (414) 445-6575

Authorised official

Name: Shirley Temple Gladney
Title: Administrator
Phone: (414) 445-3607

Registered specialties

Community Health Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QC1500X

Other Clinic/Center providers in Wisconsin →

Registry record

NPI: 1003064064
Entity type: Organization
NPI issued: 3 Sep 2008
Record last updated: 3 Sep 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.