Provider Demographics
NPI:1124726963
Name:TOUCHED BY GRACE OF MILWAUKEE
Entity type:Organization
Organization Name:TOUCHED BY GRACE OF MILWAUKEE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE
Authorized Official - Prefix:
Authorized Official - First Name:WINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-470-4994
Mailing Address - Street 1:2501 N VEL R PHILLIPS AVE
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53212-2713
Mailing Address - Country:US
Mailing Address - Phone:334-470-4994
Mailing Address - Fax:
Practice Address - Street 1:2501 N VEL R PHILLIPS AVE
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53212-2713
Practice Address - Country:US
Practice Address - Phone:334-470-4994
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-21
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity HealthGroup - Single Specialty