Organization
GREAT HEALTH HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIAMANTE GLEN (PRESIDENT)
(414) 241-0424
Entity
Organization
Contact information
Practice address
1031 ROBERT SMALLS WAY, ATLANTA, GA 30318-6718
(414) 241-0424
Mailing address
3242 N 7TH ST, MILWAUKEE, WI 53212-1913
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/29/2023
Last updated
09/29/2023
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