Organization
FIRST CHOICE HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW SEBULIBA RN (ADMINSTRATOR)
(414) 462-3560
Entity
Organization
Contact information
Practice address
3953 N 76TH ST STE 304, MILWAUKEE, WI 53222-3059
(414) 462-3560
(414) 462-3563
Mailing address
3953 N 76TH ST STE 304, MILWAUKEE, WI 53222-3059
(414) 462-3560
(414) 462-3563
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
157766-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100012553
—
WI
Enumeration date
12/06/2007
Last updated
03/03/2011
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