Organization
WELLNESS PERSONAL CARE SERVICE LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LENARD ROOSEVELT MONROE (ADMINISTRATOR)
(414) 759-9546
Entity
Organization
Contact information
Practice address
3500 S 92ND ST STE 3E, MILWAUKEE, WI 53228-1586
(414) 759-9546
Mailing address
3500 S 92ND ST STE 3E, MILWAUKEE, WI 53228-1586
(414) 759-9546
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
WI
Other
Enumeration date
02/06/2018
Last updated
02/06/2018
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