# BEHAVIORAL PHYISICAL THERAPY, WELLNESS & HOME CARE CENTER LLC

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

## Provider details

- **NPI number:** 1316263361
- **Authorized official:** MR. MARVIN LAWRENCE WALKER (PRESIDENT)
- **Authorized official phone:** (414) 352-1826

## Contact information

- **Practice address:** 201 W COVENTRY CT, SUITE 316, GLENDALE, WI 53217-3954
- **Practice address phone:** (414) 352-1826
- **Practice address fax:** (414) 352-1929
- **Mailing address:** 1785 E SAHARA AVE, SUITE 490, LAS VEGAS, NV 89104-3733

## Taxonomy

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

## Other

- **Enumeration date:** 04/15/2010
- **Last updated:** 04/15/2010