Organization
DEDRICK HOME CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANELL DEDRICK (MANAGER)
(414) 539-6096
Entity
Organization
Contact information
Practice address
7732 W NATIONAL AVE, WEST ALLIS, WI 53214-4661
(414) 539-6096
Mailing address
7732 W NATIONAL AVE, WEST ALLIS, WI 53214-4661
(414) 539-6096
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/13/2017
Last updated
11/13/2017
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