Supportive Personal Care Services
Home Health in Milwaukee, WI. Organization (NPI-2).
NPI number1568898260
StatusActive
Last updated in NPPESApr 9, 2024
Details
- NPI
- 1568898260
- Entity type
- Organization (NPI-2)
- Legal business name
- Supportive Personal Care Services
- Organization subpart
- No
- Enumeration date
- Sep 25, 2013
- Certification date
- Apr 9, 2024
- Last updated
- Apr 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
Practice location
2025 N Summit Ave Ste 103Milwaukee, WI 53202-1362
Phone 414-365-9108 · Fax 414-355-5585
Mailing address
2025 N Summit Ave Ste 103Milwaukee, WI 53202-1362
Phone 414-365-9108 · Fax 414-369-3686
Authorized official
Wanda Staples
Owner
4143659108
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All 380 Home Health Agency providers in Milwaukee · All 23,880 providers in Milwaukee
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