Organization
MQH HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GERALDINE MARIE RODGERS (OWNER)
(414) 206-4365
Entity
Organization
Contact information
Practice address
6577 N BRAEBURN LN, GLENDALE, WI 53209-3323
(414) 206-4365
(414) 206-0871
Mailing address
6577 N BRAEBURN LN, GLENDALE, WI 53209-3323
(414) 206-4365
(414) 206-0871
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100069346
—
WI
Enumeration date
03/14/2018
Last updated
03/14/2018
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