Organization
FADIE'S ENTERPRISE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEANNA CARSON (OPERATIONS MANAGER)
(262) 293-6887
Entity
Organization
Contact information
Practice address
8200 W BROWN DEER RD STE 211, MILWAUKEE, WI 53223-1712
(262) 293-6887
Mailing address
8200 W BROWN DEER RD STE 211, MILWAUKEE, WI 53223-1712
(262) 293-6887
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/25/2021
Last updated
05/25/2021
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