Organization
DEJIA HOME HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEE P. THAO MS (ADMINISTRATOR)
(414) 585-0766
Entity
Organization
Contact information
Practice address
7850 W APPLETON AVE STE 200, MILWAUKEE, WI 53218-5309
(414) 585-0766
(866) 500-8896
Mailing address
7850 W APPLETON AVE STE 200, MILWAUKEE, WI 53218-5309
(414) 585-0766
(866) 500-8896
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100043557
—
WI
Enumeration date
07/01/2015
Last updated
07/01/2015
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