Healthcare Provider Details

I. General information

NPI: 1619691888
Provider Name (Legal Business Name): TRUE COMPASSION COORDINATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2022
Last Update Date: 12/19/2022
Certification Date: 12/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1370 S 74TH ST STE 104
WEST ALLIS WI
53214-3059
US

IV. Provider business mailing address

5310 W HUSTIS ST
MILWAUKEE WI
53223-5294
US

V. Phone/Fax

Practice location:
  • Phone: 414-303-8636
  • Fax:
Mailing address:
  • Phone: 414-303-8636
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name: SHEENA SHARNISE KING
Title or Position: CEO
Credential:
Phone: 414-303-8636