Organization
NELSON HOME HEALTH CARE NO. 2, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MARK NELSON (CO-OWNER)
(262) 497-6294
Entity
Organization
Contact information
Practice address
7305 W CRAWFORD AVE, MILWAUKEE, WI 53220-1729
(262) 497-6294
Mailing address
7305 W CRAWFORD AVE, MILWAUKEE, WI 53220-1729
(262) 497-6294
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/13/2017
Last updated
06/16/2018
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