Organization
FOREVER HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MA YANG (OWNER)
(414) 897-4352
Entity
Organization
Contact information
Practice address
8532 W. CAPITOL DR., STE. L103, MILWAUKEE, WI 53222
(414) 226-5482
(414) 226-5511
Mailing address
8532 W CAPITOL DR STE L103, MILWAUKEE, WI 53222-1850
(414) 226-5482
(414) 226-5511
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100081084
—
WI
Enumeration date
03/30/2018
Last updated
03/04/2019
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