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Organization
OMNI HOME HEALTHCARE INCORPORATED
Active
Organization
OMNI HOME HEALTHCARE INCORPORATED
Active
Other names
Omni Personal Care Incorporated
Organization subpart
No
Provider details
NPI number
Authorized official
KIANTE SHIELDS (ADMINISTRATIVE DIRECTOR)
(414) 213-6335
Entity
Organization
Contact information
Practice address
12201 W NORTH AVE, SUITE 101, WAUWATOSA, WI 53226-2061
(414) 204-8462
(262) 342-2673
Mailing address
12201 W NORTH AVE, SUITE 101, WAUWATOSA, WI 53226-2061
(414) 204-8462
(262) 342-2673
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
WI
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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