MEDICARE: EUPHORIC FAMILY SERVICES

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	172V00000X	Community Health Worker
2	251B00000X	Case Management Agency
3	261Q00000X	Clinic/Center
4	374U00000X	Home Health Aide
5	171M00000X	Case Manager/Care Coordinator

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	:	1063119584
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EUPHORIC FAMILY SERVICES

Provider Business Mailing Address
First Line	:	5260 N 84TH ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53225-3502
Country	:	US
Telephone Number	:	414-640-0746
Fax Number	:

Provider Business Practice Location Address
First Line	:	5260 N 84TH ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53225-3502
Country	:	US
Telephone Number	:	414-640-0746
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LATOYA M SMITH
Credential	:
Telephone Number	:	414-640-0746

Provider Enumeration Date	:	02/15/2023
Last Update Date	:	02/15/2023

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Directions to “EUPHORIC FAMILY SERVICES ” Practice Location

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