MEDICARE: OUR JOURNEY TOGETHER

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
2	372600000X	Adult Companion

General Provider Information

NPI Number	:	1518728526
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OUR JOURNEY TOGETHER

Provider Business Mailing Address
First Line	:	3925 N 82ND ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53222-2936
Country	:	US
Telephone Number	:	414-295-1213
Fax Number	:

Provider Business Practice Location Address
First Line	:	3925 N 82ND ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53222-2936
Country	:	US
Telephone Number	:	414-295-1213
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DANITA CHAMPION
Credential	:
Telephone Number	:	414-295-1213

Provider Enumeration Date	:	01/17/2024
Last Update Date	:	01/17/2024

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Directions to “OUR JOURNEY TOGETHER ” Practice Location

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