# CROOM PRIVATE CARE LLC

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

## Provider details

- **NPI number:** 1568105328
- **Authorized official:** MRS. SARAH NELL CROOM (OWNER)
- **Authorized official phone:** (414) 339-1261

## Contact information

- **Practice address:** 3744 N. 42ND STREET, MILWAUKEE, WI 53216
- **Practice address phone:** (414) 339-1261
- **Practice address fax:** (414) 988-4930
- **Mailing address:** 3744 N. 42ND STREET, MILWAUKEE, WI 53216
- **Mailing address phone:** (414) 339-1261
- **Mailing address fax:** (414) 988-4930

## Taxonomy

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

## Other

- **Enumeration date:** 04/19/2022
- **Last updated:** 04/19/2022