Organization
HIGHLANDER HOME HEALTH CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD CHAO VANG (ADMINISTRATOR)
(414) 461-2331
Entity
Organization
Contact information
Practice address
5626 N 91ST ST, SUITE 203, MILWAUKEE, WI 53225-2745
(414) 461-2331
(414) 461-2332
Mailing address
5626 N 91ST ST, SUITE 203, MILWAUKEE, WI 53225-2745
(414) 461-2331
(414) 461-2332
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
PCA 122
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43114500
—
WI
Enumeration date
07/03/2006
Last updated
04/30/2014
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