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Organization

INDEPENDENT LIFESTYLE SUPPORTIVE HOMECARE LLC

Active
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Organization

INDEPENDENT LIFESTYLE SUPPORTIVE HOMECARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LATISHA S LITTLE (OWNER)
(414) 000-0000
Entity
Organization

Contact information

Practice address
4175 N 62ND ST, MILWAUKEE, WI 53216-1234
(414) 000-0000
(800) 251-9766
Mailing address
4175 N 62ND ST, MILWAUKEE, WI 53216-1234

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—

Other

Enumeration date
06/15/2026
Last updated
06/24/2026
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