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Organization
ATK HOME CARE LLC
Active
Organization
ATK HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER WASHINGTON (DIRECTOR)
(414) 759-1928
Entity
Organization
Contact information
Practice address
1428 W CONGRESS STREET, MILWAUKEE, WI 53209
(414) 759-1928
Mailing address
1428 W CONGRESS STREET, MILWAUKEE, WI 53209
(414) 759-1928
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
253Z00000X
In Home Supportive Care Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
342000000X
Transportation Network Company
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
374U00000X
Home Health Aide
—
—
385H00000X
Respite Care
Primary
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
12/14/2024
Last updated
12/14/2024
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