# IDEAL HOME CAE, LLC

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

## Provider details

- **NPI number:** 1255732095
- **Authorized official:** LATANYA HOLLOWAY (NURSE SUPERVISOR)
- **Authorized official phone:** (414) 369-0295

## Contact information

- **Practice address:** 3212 S 31ST ST, MILWAUKEE, WI 53215-4334
- **Practice address phone:** (414) 369-0295
- **Mailing address:** 3212 S 31ST ST, MILWAUKEE, WI 53215-4334
- **Mailing address phone:** (414) 369-0295

## Taxonomy

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

## Other

- **Enumeration date:** 09/11/2014
- **Last updated:** 09/11/2014