Organization
GARDEN PF EVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCHALLITA SPEIGHTS (MANAGER)
(414) 841-2299
Entity
Organization
Contact information
Practice address
5145 N 55TH ST, MILWAUKEE, WI 53218-4211
(414) 841-2299
Mailing address
5145 N 55TH ST, MILWAUKEE, WI 53218-4211
(414) 841-2299
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/19/2014
Last updated
05/19/2014
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