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Organization
LIFE CARE PERSONAL CARE AGENCY LLC
Active
Organization
LIFE CARE PERSONAL CARE AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MOENEEK CANNADAY (OPERATIONS MANAGER)
(414) 488-2011
Entity
Organization
Contact information
Practice address
7730 W NATIONAL AVE, WEST ALLIS, WI 53214-4657
(414) 488-2011
(414) 488-2014
Mailing address
7730 W NATIONAL AVE, WEST ALLIS, WI 53214-4657
(414) 488-2011
(414) 488-2014
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
11/25/2019
Last updated
11/25/2019
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