Organization
DEVOTED PERSONAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KA T HER (ADMINISTRATOR)
(414) 210-4589
Entity
Organization
Contact information
Practice address
9730 W BLUEMOUND RD STE 4, WAUWATOSA, WI 53226-4463
(414) 210-4589
(414) 509-5804
Mailing address
9730 W BLUEMOUND RD STE 4, WAUWATOSA, WI 53226-4463
(414) 210-4589
(414) 509-5804
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100063519
—
WI
Enumeration date
01/15/2019
Last updated
01/15/2019
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