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Organization
BRADLEY HOME HEALTH CARE LLC
Active
Organization
BRADLEY HOME HEALTH CARE LLC
Active
Other names
none
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHARLENE SMITH CEO (OWNER)
(414) 873-0797
Entity
Organization
Contact information
Practice address
4007 W CONCORDIA AVE, 4007 WEST CONCORDIA AVE., MILWAUKEE, WI 53216-3623
(414) 873-0797
(414) 873-0797
Mailing address
4007 WEST CONCORDIA AVE, 4007 WEST CONCORDIA AVE, MILWAUKEE, WI 53216-3623
(414) 873-0797
(414) 873-0797
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
—
NULL
163WH0200X
Home Health Registered Nurse
—
—
251E00000X
Home Health Agency
Primary
—
NULL
251J00000X
Nursing Care Agency
251E00000X
WI
Other
Enumeration date
08/26/2008
Last updated
08/26/2008
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