Organization
LOYAL HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMA NOOR (MANAGER)
(262) 672-7570
Entity
Organization
Contact information
Practice address
2058 GEORGIA AVE, RACINE, WI 53404-1908
(773) 441-8318
Mailing address
2058 GEORGIA AVE, RACINE, WI 53404-1908
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
12/21/2023
Last updated
05/13/2025
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