Organization
GUY ENTERPRISES, LLC
Active
Other names
Pro Providers Personal Care Agency
Organization subpart
No
Provider details
NPI number
Authorized official
CORY GUY (CEO / PRESIDENT)
(414) 777-0202
Entity
Organization
Contact information
Practice address
6327 W GREENFIELD AVE, WEST ALLIS, WI 53214-5047
(414) 777-0202
(414) 777-0205
Mailing address
6327 W GREENFIELD AVE, WEST ALLIS, WI 53214-5047
(414) 777-0202
(414) 777-0205
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100030779
—
WI
Enumeration date
10/10/2013
Last updated
10/10/2013
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