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Organization

REDEEMING HEARTS HOME CARE AGENCY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BARBARA ANDERSON (EXECUTIVE DIRECTOR)
(414) 323-4243
Entity
Organization

Contact information

Practice address
3223 W LLOYD ST, MILWAUKEE, WI 53208
(414) 323-4243
(414) 323-4243
Mailing address
3223 W LLOYD ST, MILWAUKEE, WI 53208-1439
(414) 323-4243
(414) 323-4049

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
253Z00000X
In Home Supportive Care Agency
Primary
100064736
WI
253Z00000X
In Home Supportive Care Agency

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100064736
WI
Enumeration date
12/14/2016
Last updated
09/13/2021
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