# VANGAURD HOME HEALTHCARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033549159
- **Authorized official:** MS. JAMILA K GRAY APNP-BC (CLINICAL DIRECTOR)
- **Authorized official phone:** (414) 216-4516

## Contact information

- **Practice address:** 9310 N 107TH ST, MILWAUKEE, WI 53224-1121
- **Practice address phone:** (414) 216-4516
- **Practice address fax:** (414) 527-1063
- **Mailing address:** 9310 N 107TH ST, MILWAUKEE, WI 53224-1121
- **Mailing address phone:** (414) 216-4516
- **Mailing address fax:** (414) 527-1063

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/27/2013
- **Last updated:** 11/27/2013