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Organization

INDEPENDENCEFIRST

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DEB LANGHAM (COO)
(414) 226-8371
Entity
Organization

Contact information

Practice address
540 S 1ST ST, MILWAUKEE, WI 53204-1605
(414) 291-7520
(414) 291-7525
Mailing address
540 S 1ST ST, MILWAUKEE, WI 53204-1605
(414) 291-7520
(414) 291-7525

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
43104200
WI
251E00000X
Home Health Agency

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
43104200
WI
Enumeration date
06/08/2005
Last updated
04/24/2019
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