Organization
MY HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KOUA F THAO (ADMINISTRATOR)
(414) 342-8300
Entity
Organization
Contact information
Practice address
3510 W BURNHAM ST, MILWAUKEE, WI 53215-2096
(414) 342-8300
Mailing address
3510 W BURNHAM ST, SUITE 200, MILWAUKEE, WI 53215-2096
(414) 342-8300
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
100014873
WI
Other
Enumeration date
05/12/2015
Last updated
05/12/2015
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