Organization
FAMILY NURSECARE OF OF WISCONSIN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK MITCHELL (CEO)
(248) 893-0500
Entity
Organization
Contact information
Practice address
2448 S 102ND ST, STE. 270, WEST ALLIS, WI 53227-2466
(414) 543-9600
(414) 543-9601
Mailing address
27000 HILLS TECH CT, STE 200, FARMINGTON HILLS, MI 48331-3412
(248) 893-0500
(248) 324-1477
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/05/2006
Last updated
08/22/2020
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