Provider Demographics
NPI:1013800135
Name:FRANCES CIRCLE OF LIFE PNCC
Entity type:Organization
Organization Name:FRANCES CIRCLE OF LIFE PNCC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:WATFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-408-4262
Mailing Address - Street 1:6150 W FOND DU LAC AVE
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53218-5600
Mailing Address - Country:US
Mailing Address - Phone:414-408-4262
Mailing Address - Fax:
Practice Address - Street 1:6150 W FOND DU LAC AVE
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53218-5600
Practice Address - Country:US
Practice Address - Phone:414-408-4262
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-29
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing