Organization
HIGHLANDER HOME HEALTH CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD CHAO VANG (ADMINISTRATOR)
(414) 916-1203
Entity
Organization
Contact information
Practice address
5626 N 91ST ST, SUITE 203, MILWAUKEE, WI 53225-2745
(414) 461-2331
(414) 461-2332
Mailing address
5626 N 91ST ST, SUITE 203, MILWAUKEE, WI 53225-2745
(414) 461-2331
(414) 461-2332
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
PCA122
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43114500
—
WI
Enumeration date
12/13/2013
Last updated
12/13/2013
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