Organization
CARE CONNECTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTAVIA STANFORD (DIRECTOR)
(414) 841-5614
Entity
Organization
Contact information
Practice address
120 BISHOPS WAY STE 165, BROOKFIELD, WI 53005-6249
(414) 841-5614
(414) 240-3595
Mailing address
12007 W BURLEIGH ST APT 202, WAUWATOSA, WI 53222-3121
(414) 841-5614
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/28/2020
Last updated
01/16/2024
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