Provider Demographics
NPI:1447869862
Name:HEART TO HEART PRENATAL / CARE COORDINATION SERVICES
Entity type:Organization
Organization Name:HEART TO HEART PRENATAL / CARE COORDINATION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CASE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ISIOMA
Authorized Official - Middle Name:JEWEL
Authorized Official - Last Name:EZEKIEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-852-7858
Mailing Address - Street 1:8329-5 WEST APPLETON AVENUE
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53218
Mailing Address - Country:US
Mailing Address - Phone:414-852-7858
Mailing Address - Fax:
Practice Address - Street 1:5450 W GREEN TREE RD
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53223-5289
Practice Address - Country:US
Practice Address - Phone:414-852-7858
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-31
Last Update Date:2020-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management