Organization
PROFOUND HOME HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA SOLES (ADMINISTRATOR)
(414) 488-2666
Entity
Organization
Contact information
Practice address
12201 W BURLEIGH ST STE 10, WAUWATOSA, WI 53222-3102
(414) 488-2666
(414) 488-2713
Mailing address
12201 W BURLEIGH ST STE 10, WAUWATOSA, WI 53222-3102
(414) 488-2666
(414) 488-2713
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/27/2018
Last updated
02/27/2018
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