Organization
METRO HOME HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SIMONA JOHNSON RN (ADMINISTRATOR)
(414) 464-4490
Entity
Organization
Contact information
Practice address
6014 W CONGRESS ST, MILWAUKEE, WI 53218-5553
(414) 464-4490
(414) 464-6114
Mailing address
6014 W CONGRESS ST, MILWAUKEE, WI 53218-5553
(414) 464-4490
(414) 464-6114
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23
WI HOME HEALTH LICENSE
WI
05
—
41508700
—
WI
Enumeration date
07/20/2006
Last updated
08/22/2020
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