Organization
GRANNY'S HOUSES HOME CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CANDICE T BIBBINS (PROGRAM DIRECTOR)
(262) 955-4313
Entity
Organization
Contact information
Practice address
3727 W NATIONAL AVE, MILWAUKEE, WI 53215-1007
(262) 955-4313
Mailing address
3727 W NATIONAL AVE, MILWAUKEE, WI 53215-1007
(262) 955-4313
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/10/2015
Last updated
07/10/2015
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