Organization
TENDER LOVING PERSONAL CARE, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TIFFINNE D PEARSON MSM (ADMINISTRATOR)
(414) 628-0491
Entity
Organization
Contact information
Practice address
3914 N 65TH ST, MILWAUKEE, WI 53216-2116
(414) 628-0491
Mailing address
3914 N 65TH ST, MILWAUKEE, WI 53216-2116
(414) 628-0491
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100029879
—
WI
Enumeration date
06/13/2013
Last updated
06/13/2013
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