Organization
LIFE AND LIBERTY HOME HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TYWANA GEORGE (ADMINISTRATOR)
(414) 345-1111
Entity
Organization
Contact information
Practice address
756 N 35TH ST, SUITE 205, MILWAUKEE, WI 53208-3360
(414) 345-1111
(414) 755-7337
Mailing address
756 N 35TH ST, SUITE 205, MILWAUKEE, WI 53208-3360
(414) 345-1111
(414) 755-7337
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
100045501
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100045501
—
WI
Enumeration date
07/27/2015
Last updated
07/27/2015
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