Organization
KNEALSKI PERSONAL CARES SERVICES, LLC
Active
Other names
KNealski Personal Cares Services, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE M HARRIS (PROGRAM ADMINISTRATOR)
(414) 507-2975
Entity
Organization
Contact information
Practice address
4427 W FOND DU LAC AVE, MILWAUKEE, WI 53216-3444
(414) 585-0308
(414) 763-7834
Mailing address
3708 N 50TH ST, MILWAUKEE, WI 53216-2933
(414) 507-2975
(414) 763-7834
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001161962
—
WI
Enumeration date
04/09/2020
Last updated
04/09/2020
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