Organization
MADISON HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SAMSAM A MOHAMED (OWNER)
(612) 354-0587
Entity
Organization
Contact information
Practice address
2317 INTERNATIONAL LN, STE 114, MADISON, WI 53704-3129
(612) 354-0587
Mailing address
2317 INTERNATIONAL LN, STE 114, MADISON, WI 53704-3129
(612) 354-0587
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/19/2015
Last updated
10/19/2015
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