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Organization

ENTITLED PERSONAL CARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ALEX TENG CHA (ADMINISTRATOR)
(414) 206-4301
Entity
Organization

Contact information

Practice address
7319 N TEUTONIA AVE, MILWAUKEE, WI 53209-2005
(414) 206-4301
(414) 206-4302
Mailing address
7319 N TEUTONIA AVE, MILWAUKEE, WI 53209-2005
(414) 206-4301
(414) 206-4302

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100065593
WI
Enumeration date
02/05/2018
Last updated
02/05/2018
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