Organization
FRESH START SUPPORTIVE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRANDA PORTER (OWNER)
(414) 915-3018
Entity
Organization
Contact information
Practice address
567 N 93RD ST, MILWAUKEE, WI 53226-4427
(414) 915-3018
Mailing address
567 N 93RD ST, MILWAUKEE, WI 53226-4427
(414) 915-3018
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/22/2026
Last updated
01/22/2026
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