Organization
HOME SWEET HOME-CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PERCENIA MARIA COLEMAN (ADMINISTRATOR)
(646) 731-8198
Entity
Organization
Contact information
Practice address
7510 N 87TH ST, MILWAUKEE, WI 53224-4038
(646) 731-8198
Mailing address
7510 N 87TH ST, MILWAUKEE, WI 53224-4038
(646) 731-8198
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
320900000X
WI
Other
Enumeration date
04/24/2012
Last updated
04/24/2012
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