Organization
JEANS NEW CREATION PERSONAL CARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CLIMMIE J WILLIAMS CNA (OWNER)
(414) 254-8216
Entity
Organization
Contact information
Practice address
6830 W VILLARD AVE, 190, MILWAUKEE, WI 53218-3968
(414) 239-8833
(414) 239-8833
Mailing address
6830 W VILLARD AVE, 190, MILWAUKEE, WI 53218-3968
(414) 239-8833
(414) 239-8833
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
243369
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
243369
CNA
WI
Enumeration date
04/05/2013
Last updated
04/05/2013
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