Organization
NEW LEAF HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PANG Y VUE (ADMINISTRATOR/ OWNER)
(262) 505-6104
Entity
Organization
Contact information
Practice address
12714 W HAMPTON AVE STE E, BUTLER, WI 53007-1640
(262) 505-6104
(262) 794-3628
Mailing address
12714 W HAMPTON AVE STE E, BUTLER, WI 53007-1640
(262) 505-6104
(262) 794-3628
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100066044
—
WI
Enumeration date
10/24/2017
Last updated
10/24/2017
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