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Organization

KINGKASTLE VET HOME, LLC

Active
Parent organization
KINGKASTLE VET HOME LLC
Other names
KingKastle Vet Home, LLC, KingKastle Vet Home, LLC, KingKastle Vet Home,LLC, KINGKASTLE VET HOME, Kingkastle Vet Home LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
KINGKASTLE VET HOME LLC
Authorized official
MRS. ATHRAY LYNETTE PATTERSON ADMINISTRATOR (CEO)
(414) 469-8480
Entity
Organization

Contact information

Practice address
8023 W BENDER AVE, MILWAUKEE, WI 53218-1009
(414) 446-5574
Mailing address
8070 N 51ST ST, MILWAUKEE, WI 53223-3620
(414) 469-8480

Taxonomy

Speciality
Code
Description
License number
State
174200000X
Meals Provider
177F00000X
Lodging Provider
251E00000X
Home Health Agency
251S00000X
Community/Behavioral Health Agency
344600000X
Taxi
372500000X
Chore Provider
372600000X
Adult Companion
3747A0650X
Attendant Care Provider
3747P1801X
Personal Care Attendant
374U00000X
Home Health Aide
385H00000X
Respite Care
Primary

Other

Enumeration date
05/01/2023
Last updated
05/01/2023
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