Organization
TKO HOMECARE
Active
Other names
TKO HOME CARE LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KEMBA BANYARD RN (ADMINISTRATOR)
(414) 616-8920
Entity
Organization
Contact information
Practice address
5401 N 76TH ST STE 201, MILWAUKEE, WI 53218-2746
(414) 616-8920
(414) 616-8910
Mailing address
5401 N 76TH ST STE 201, MILWAUKEE, WI 53218-2746
(414) 616-8920
(414) 616-8910
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
1052
WI
Other
Enumeration date
09/27/2006
Last updated
02/29/2008
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