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Organization

NORTH LAKES NURSING HOME HEALTH CARE AGENCY LLC

Active
Other names
North Lakes Nursing
Organization subpart
No

Provider details

NPI number
Authorized official
LISA WOLLER (OWNER/ADMINISTRATOR)
(262) 825-3204
Entity
Organization

Contact information

Practice address
225 E FAIRMOUNT AVE, MILWAUKEE, WI 53217
(414) 967-9355
Mailing address
225 E FAIRMOUNT AVE, MILWAUKEE, WI 53217-5853

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
06/20/2018
Last updated
06/22/2018
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