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Organization
NORTH LAKES NURSING HOME HEALTH CARE AGENCY LLC
Active
Organization
NORTH LAKES NURSING HOME HEALTH CARE AGENCY LLC
Active
Other names
North Lakes Nursing
Organization subpart
No
Provider details
NPI number
Authorized official
LISA WOLLER (OWNER/ADMINISTRATOR)
(262) 825-3204
Entity
Organization
Contact information
Practice address
225 E FAIRMOUNT AVE, MILWAUKEE, WI 53217
(414) 967-9355
Mailing address
225 E FAIRMOUNT AVE, MILWAUKEE, WI 53217-5853
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
06/20/2018
Last updated
06/22/2018
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