Organization
SUPERIOR CARE HOME HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDY BENDER RN (OWNER, ADMINISTRATOR)
(414) 800-6627
Entity
Organization
Contact information
Practice address
3741 W NATIONAL AVE STE 101, MILWAUKEE, WI 53215-1050
(414) 800-6627
(414) 539-3144
Mailing address
3741 W NATIONAL AVE STE 101, MILWAUKEE, WI 53215-1050
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100064583
—
WI
Enumeration date
04/06/2018
Last updated
04/06/2018
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