Organization
FRIENDS OF FAMILY ADULT HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PWANA MARIE RANDALL (MANAGER/OWNER)
(414) 639-2281
Entity
Organization
Contact information
Practice address
5486 N 75TH ST, MILWAUKEE, WI 53218-2712
(414) 639-2281
(414) 800-6855
Mailing address
5322 N 73RD ST, MILWAUKEE, WI 53218-2823
(414) 639-2281
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/13/2021
Last updated
04/15/2021
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