# GIFTED ANGELS QUALITY HOME HEALTH CARE LLC

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

## Provider details

- **NPI number:** 1457636359
- **Authorized official:** MS. CORRIE ANN LOPEZ C.N.A (VICE PRESIDENT)
- **Authorized official phone:** (414) 610-3789

## Contact information

- **Practice address:** 3983 S PRAIRIE HILL LN APT 107, GREENFIELD, WI 53228-2368
- **Practice address phone:** (262) 617-3136
- **Mailing address:** PO BOX 342597, MILWAUKEE, WI 53234-2597
- **Mailing address phone:** (262) 716-3136

## Taxonomy

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

## Other

- **Enumeration date:** 10/12/2011
- **Last updated:** 10/12/2011