Organization
VIDA HOME CARE WISCONSIN INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN PEREZ MALDONADO (OWNER MEMBER)
(414) 208-4404
Entity
Organization
Contact information
Practice address
7313 W SQUIRE AVE, GREENFIELD, WI 53220-4327
(414) 208-4404
Mailing address
7313 W SQUIRE AVE, GREENFIELD, WI 53220-4327
(414) 208-4404
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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