# LIVING INSIGHT SUPPORTIVE SERVICES LLC

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

## Provider details

- **NPI number:** 1730699489
- **Authorized official:** SHELIA BLACK (ADMINISTRATOR)
- **Authorized official phone:** (262) 689-0028

## Contact information

- **Practice address:** 3065 N 124TH ST STE 203, BROOKFIELD, WI 53005-3874
- **Practice address phone:** (262) 794-3374
- **Practice address fax:** (262) 794-3274
- **Mailing address:** 3065 N 124TH ST STE 203, BROOKFIELD, WI 53005-3874
- **Mailing address phone:** (262) 794-3374
- **Mailing address fax:** (262) 794-3274

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 105058-30 | WI | Yes |

## Other

- **Enumeration date:** 10/09/2017
- **Last updated:** 12/22/2021