Organization
ANS PERSONAL CARE FOX VALLEY WEST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM ELLIS (ADMINISTRATOR)
(414) 481-9800
Entity
Organization
Contact information
Practice address
1551 S 108TH ST, WEST ALLIS, WI 53214-4020
(414) 481-9800
Mailing address
1551 S 108TH ST, WEST ALLIS, WI 53214-4020
(414) 481-9800
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
WI
Other
Enumeration date
12/13/2016
Last updated
12/13/2016
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