Organization
JCEAL5
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSH G WALTERS (PRESIDENT)
(262) 347-8801
Entity
Organization
Contact information
Practice address
N95W18419 COUNTY LINE RD, MENOMONEE FALLS, WI 53051-7101
(262) 799-5931
(262) 799-4062
Mailing address
N95W18419 COUNTY LINE RD, MENOMONEE FALLS, WI 53051-7101
(262) 799-5931
(262) 799-4062
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/11/2025
Last updated
11/11/2025
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