# FAMILY NURSECARE OF OF WISCONSIN, LLC

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

## Provider details

- **NPI number:** 1588766877
- **Authorized official:** MARK MITCHELL (CEO)
- **Authorized official phone:** (248) 893-0500

## Contact information

- **Practice address:** 2448 S 102ND ST, STE. 270, WEST ALLIS, WI 53227-2466
- **Practice address phone:** (414) 543-9600
- **Practice address fax:** (414) 543-9601
- **Mailing address:** 27000 HILLS TECH CT, STE 200, FARMINGTON HILLS, MI 48331-3412
- **Mailing address phone:** (248) 893-0500
- **Mailing address fax:** (248) 324-1477

## Taxonomy

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

## Other

- **Enumeration date:** 09/05/2006
- **Last updated:** 08/22/2020