Organization
NEW PHASE PERSONAL CARE AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOANNE TURENNE (ADMINISTRATOR)
(262) 794-6525
Entity
Organization
Contact information
Practice address
790 N MILWAUKEE ST STE 310, MILWAUKEE, WI 53202-4148
(262) 794-6525
Mailing address
790 N MILWAUKEE ST STE 310, MILWAUKEE, WI 53202-4148
(262) 794-6525
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100228332
—
WI
Enumeration date
03/06/2023
Last updated
08/21/2023
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