Organization
EXTRAORDINARY HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLESA DORTHEA JAMES (OWNER)
(262) 336-0758
Entity
Organization
Contact information
Practice address
333 W BROWN DEER RD UNIT G-406, MILWAUKEE, WI 53217-2372
(262) 336-0758
Mailing address
333 W BROWN DEER RD UNIT G-406, MILWAUKEE, WI 53217-2372
(262) 336-0758
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/06/2025
Last updated
10/06/2025
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