Organization
PRESCOTT HOME HEALTH CARE, LLC
Active
Other names
Prescott Personal Care Agency
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE MARIE PRESCOTT (OWNER)
(414) 737-0177
Entity
Organization
Contact information
Practice address
2522 N 12TH ST, MILWAUKEE, WI 53206-2506
(414) 737-0177
(414) 264-1415
Mailing address
2522 N 12TH ST, MILWAUKEE, WI 53206-2506
(414) 737-0177
(414) 264-1415
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/15/2016
Last updated
06/17/2016
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