Organization
TLC PERSONAL CARE AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REHAM KHALIL (ADMINISTRATOR)
(414) 265-9299
Entity
Organization
Contact information
Practice address
8105 W LISBON AVE, MILWAUKEE, WI 53222-3826
(414) 212-8885
Mailing address
8105 W LISBON AVE, MILWAUKEE, WI 53222-3826
(414) 212-8885
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
WI
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100022770
—
WI
Enumeration date
02/20/2017
Last updated
10/07/2025
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