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Organization

AT HOME PERSONAL CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JONG XIONG (ADMINISTRATOR)
(414) 704-9114
Entity
Organization

Contact information

Practice address
W175N11163 STONEWOOD DR STE 290, GERMANTOWN, WI 53022-6500
(262) 245-3301
(262) 245-3302
Mailing address
W175N11163 STONEWOOD DR STE 290, GERMANTOWN, WI 53022-6500
(262) 245-3301
(262) 245-3302

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
01/16/2019
Last updated
01/16/2019
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