Organization
CROOM PRIVATE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SARAH NELL CROOM (OWNER)
(414) 339-1261
Entity
Organization
Contact information
Practice address
3744 N. 42ND STREET, MILWAUKEE, WI 53216
(414) 339-1261
(414) 988-4930
Mailing address
3744 N. 42ND STREET, MILWAUKEE, WI 53216
(414) 339-1261
(414) 988-4930
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1463
—
WI
Enumeration date
04/19/2022
Last updated
04/19/2022
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