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Organization
ATTENTIVE HOME CARE, INC
Active
Organization
ATTENTIVE HOME CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM MOORE (CLINICAL SERVICES DIRECTOR)
(414) 444-4003
Entity
Organization
Contact information
Practice address
10721 W CAPITOL DR, SUITE 224, WAUWATOSA, WI 53222-1210
(414) 444-4003
(414) 444-5003
Mailing address
10721 W CAPITOL DR, SUITE 224, WAUWATOSA, WI 53222-1210
(414) 897-0834
(414) 897-0839
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
100037380
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100037380
—
WI
Enumeration date
06/02/2016
Last updated
11/02/2017
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