Organization
M & M HOME CARE 2 LLC
Active
Other names
M & M Home Care 2 LLC
Organization subpart
No
Provider details
NPI number
Authorized official
GWENDOLYN MOSS (OWNER)
(414) 429-7181
Entity
Organization
Contact information
Practice address
4117 W CUSTER AVE, MILWAUKEE, WI 53209-4631
(414) 429-7181
Mailing address
4117 W CUSTER AVE, MILWAUKEE, WI 53209-4631
(414) 429-7181
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
310400000X
Assisted Living Facility
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
Other
Enumeration date
06/12/2025
Last updated
06/12/2025
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