# RIVER WEST HOME CARE ASSISTANT, LLC

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

## Provider details

- **NPI number:** 1164853545
- **Authorized official:** MR. ISMAIL HARUN (CEO/PRESIDENT)
- **Authorized official phone:** (414) 722-5436

## Contact information

- **Practice address:** 234 W FLORIDA ST STE 311, MILWAUKEE, WI 53204-1659
- **Practice address phone:** (414) 722-5436
- **Mailing address:** 234 W FLORIDA ST STE 311, MILWAUKEE, WI 53204-1659
- **Mailing address phone:** (414) 722-5436

## Taxonomy

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

## Other

- **Enumeration date:** 12/10/2013
- **Last updated:** 12/10/2013