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Organization
JANNAH HOME HEALTHCARE
Active
Organization
JANNAH HOME HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LATOYA DIXON (ADMINISTRATOR)
(414) 342-2500
Entity
Organization
Contact information
Practice address
2133 W NORTH AVE, MILWAUKEE, WI 53205-1133
(414) 342-2500
Mailing address
2133 W NORTH AVE, MILWAUKEE, WI 53205-1133
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100024903
—
WI
Enumeration date
03/04/2013
Last updated
03/04/2013
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