# FOREVER HOME HEALTH CARE LLC

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

## Provider details

- **NPI number:** 1083110043
- **Authorized official:** MA YANG (OWNER)
- **Authorized official phone:** (414) 897-4352

## Contact information

- **Practice address:** 8532 W. CAPITOL DR., STE. L103, MILWAUKEE, WI 53222
- **Practice address phone:** (414) 226-5482
- **Practice address fax:** (414) 226-5511
- **Mailing address:** 8532 W CAPITOL DR STE L103, MILWAUKEE, WI 53222-1850
- **Mailing address phone:** (414) 226-5482
- **Mailing address fax:** (414) 226-5511

## Taxonomy

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

## Other

- **Enumeration date:** 03/30/2018
- **Last updated:** 03/04/2019