# DAVIS AND PADEN HOME HEALTH CARE, LLC

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

## Provider details

- **NPI number:** 1679960694
- **Authorized official:** DEZIMON DAVIS (ADMINISTRATOR)
- **Authorized official phone:** (618) 719-6388

## Contact information

- **Practice address:** 3707 W GOOD HOPE RD APT 19, MILWAUKEE, WI 53209-2363
- **Practice address phone:** (618) 719-6388
- **Mailing address:** 916 MILWAUKEE AVE, SOUTH MILWAUKEE, WI 53172-2146
- **Mailing address phone:** (618) 719-6388

## Taxonomy

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

## Other

- **Enumeration date:** 04/16/2015
- **Last updated:** 07/23/2015