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Organization
QUALITY OF LIFE SUPPORTIVE CARE LLC
Active
Organization
QUALITY OF LIFE SUPPORTIVE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEIDRE P WILLIAMS (OWNER)
(414) 241-7663
Entity
Organization
Contact information
Practice address
5457 N 19TH ST, MILWAUKEE, WI 53209-5012
(414) 241-7663
Mailing address
5457 N 19TH ST, MILWAUKEE, WI 53209-5012
(414) 241-7663
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/21/2023
Last updated
09/21/2023
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