# PROFESSIONAL HOME CARE SERVICES INC

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

## Provider details

- **NPI number:** 1821014218
- **Authorized official:** MRS. BARBARA ANN KOZLOSKY (OWNER)
- **Authorized official phone:** (414) 541-6010

## Contact information

- **Practice address:** 10827 W LINCOLN AVE, WEST ALLIS, WI 53227-1127
- **Practice address phone:** (414) 541-6010
- **Practice address fax:** (414) 541-5509
- **Mailing address:** 10827 W LINCOLN AVE, WEST ALLIS, WI 53227-1127
- **Mailing address phone:** (414) 541-6010
- **Mailing address fax:** (414) 541-5509

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 279 | WI | Yes |

## Other

- **Enumeration date:** 07/15/2006
- **Last updated:** 11/21/2011
