Organization
LIFE CARE PERSONAL CARE AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MOENEEK CANNADAY (OPERATIONS MANAGER)
(414) 488-2011
Entity
Organization
Contact information
Practice address
7730 W NATIONAL AVE, WEST ALLIS, WI 53214-4657
(414) 488-2011
(414) 488-2014
Mailing address
7730 W NATIONAL AVE, WEST ALLIS, WI 53214-4657
(414) 488-2011
(414) 488-2014
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/25/2019
Last updated
11/25/2019
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