Organization
RIVER WEST HOME CARE ASSISTANT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ISMAIL HARUN (CEO/PRESIDENT)
(414) 722-5436
Entity
Organization
Contact information
Practice address
234 W FLORIDA ST STE 311, MILWAUKEE, WI 53204-1659
(414) 722-5436
Mailing address
234 W FLORIDA ST STE 311, MILWAUKEE, WI 53204-1659
(414) 722-5436
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
WI
Other
Enumeration date
12/10/2013
Last updated
12/10/2013
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