Organization
GIFTED ANGELS QUALITY HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CORRIE ANN LOPEZ C.N.A (VICE PRESIDENT)
(414) 610-3789
Entity
Organization
Contact information
Practice address
3983 S PRAIRIE HILL LN APT 107, GREENFIELD, WI 53228-2368
(262) 617-3136
Mailing address
PO BOX 342597, MILWAUKEE, WI 53234-2597
(262) 716-3136
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/12/2011
Last updated
10/12/2011
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