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Organization
OPULENT CARE AGENCY
Active
Organization
OPULENT CARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNETTE HAYNES (OWNER)
(414) 704-4898
Entity
Organization
Contact information
Practice address
4168 N 44TH ST, MILWAUKEE, WI 53216-1504
(414) 704-4898
Mailing address
4168 N 44TH ST, MILWAUKEE, WI 53216-1504
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
09/12/2024
Last updated
09/12/2024
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