MEDICARE: CHILDREN'S FAMILY & COMMUNITY PARTNERSHIPS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043306798
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHILDREN'S FAMILY & COMMUNITY PARTNERSHIPS

Provider Business Mailing Address
First Line	:	P. O. BOX 1127
Second Line	:
City	:	SHEBOYGAN
State	:	WI
Zip	:	53082-1127
Country	:	US
Telephone Number	:	920-457-6750
Fax Number	:	920-457-8350

Provider Business Practice Location Address
First Line	:	2327 NO. 25 ST.
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53206
Country	:	US
Telephone Number	:	414-933-3095
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. KENNETH MUNSON
Credential	:
Telephone Number	:	414-453-1400

Provider Enumeration Date	:	10/04/2006
Last Update Date	:	01/05/2010

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