Organization
AT HOME LOVING CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES NICHOLS CSA (ADMINISTATOR)
(262) 432-1703
Entity
Organization
Contact information
Practice address
S78W20506 MONTEREY DR, MUSKEGO, WI 53150-9523
(262) 432-1703
Mailing address
PO BOX 744, MUSKEGO, WI 53150-0744
(262) 432-1703
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/05/2016
Last updated
10/05/2016
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