Organization
CHERUBS HOMECARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENITI R ROBERSON (ADMINISTRATOR)
(414) 350-0949
Entity
Organization
Contact information
Practice address
500 W SILVER SPRING DR, K-200, GLENDALE, WI 53217-5051
(414) 847-6476
(414) 847-6201
Mailing address
500 W SILVER SPRING DR, K-200, GLENDALE, WI 53217-5051
(414) 847-6476
(414) 847-6201
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100053025
—
WI
Enumeration date
04/23/2016
Last updated
04/23/2016
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