Organization
LS PROFESSIONAL COMFORT HOMES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA STAMM RN (ADMINISTRATOR)
(262) 781-0448
Entity
Organization
Contact information
Practice address
14665 W LISBON RD, SUITE 1A, BROOKFIELD, WI 53005-1687
(262) 781-0448
(262) 781-1307
Mailing address
4765 N 148TH ST, BROOKFIELD, WI 53005-1566
(262) 781-0448
(262) 781-1307
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1022
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41536900
—
WI
05
—
41752000
—
WI
Enumeration date
11/07/2006
Last updated
07/11/2012
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