Organization
CLEAN HOUSE HEALTH CARE & ASSOCIATE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY L BUSH (OWNER)
(414) 519-8949
Entity
Organization
Contact information
Practice address
5875 N 60TH ST, MILWAUKEE, WI 53218-2042
(414) 519-8949
(414) 519-8949
Mailing address
5875 N 60TH ST, MILWAUKEE, WI 53218-2042
(414) 519-8949
(414) 519-8949
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251G00000X
Community Based Hospice Care Agency
—
—
Other
Enumeration date
04/14/2008
Last updated
12/13/2011
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