# UNITED EXTENDED HOME HEALTHCARE SERVICES

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

## Provider details

- **NPI number:** 1699092999
- **Authorized official:** MRS. AH SONG THAO (OFFICE MANAGER)
- **Authorized official phone:** (414) 491-6733

## Contact information

- **Practice address:** 6455 N. FRESNO STREEET, MILWAUKEE, WI 53224
- **Practice address phone:** (414) 491-6733
- **Mailing address:** 6455 N. FRESNO STREEET, MILWAUKEE, WI 53224
- **Mailing address phone:** (414) 491-6733

## Taxonomy

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

## Other

- **Enumeration date:** 04/26/2010
- **Last updated:** 04/26/2010