Organization
MI CASA CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACQUELINE ENID POULAKOS (OWNER)
(414) 209-2049
Entity
Organization
Contact information
Practice address
5630 S NEW BERLIN RD, HALES CORNERS, WI 53130-1754
(414) 209-2049
Mailing address
5630 S NEW BERLIN RD, HALES CORNERS, WI 53130-1754
(414) 209-2049
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/01/2013
Last updated
05/01/2013
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