Organization
FREEDOM HOME HEALTH CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NANG V THAO (ADMINISTRATOR)
(414) 755-8570
Entity
Organization
Contact information
Practice address
4701 N 76TH ST STE 300, MILWAUKEE, WI 53218-4700
(414) 755-8570
(414) 431-0848
Mailing address
4701 N 76TH ST STE 300, MILWAUKEE, WI 53218-4700
(414) 755-8570
(414) 431-0848
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100084123
—
WI
05
—
43115000
—
WI
Enumeration date
04/09/2007
Last updated
07/21/2022
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