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Organization

WHITE'S HOME CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LANELL WHITE ICS (ADMINISTRATOR)
(414) 536-7098
Entity
Organization

Contact information

Practice address
6400 W CAPITOL DR, SUITE 212, MILWAUKEE, WI 53216-2156
(414) 536-7098
(414) 536-7106
Mailing address
6400 W CAPITOL DR, SUITE 212, MILWAUKEE, WI 53216-2156
(414) 536-7098
(414) 536-7106

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
W060837
WI

Other

Enumeration date
03/11/2013
Last updated
03/11/2013
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