Organization
INTEGRITY HOME CARE, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SOUTHIDA XAYACHACK MSW (OWNER AND CEO)
(414) 581-9162
Entity
Organization
Contact information
Practice address
6450 W FOREST HOME AVE, UNIT 102, GREENFIELD, WI 53220-2402
(414) 581-9162
(414) 210-5530
Mailing address
6450 W FOREST HOME AVE, UNIT 102, GREENFIELD, WI 53220-2402
(414) 581-9162
(414) 210-5530
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/01/2015
Last updated
07/22/2016
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