Organization
IN HOME 2 PERSONAL CARE AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHI'LONDA D WILLIAMS (OWNER)
(414) 269-9800
Entity
Organization
Contact information
Practice address
4319 N 76TH ST STE 9, MILWAUKEE, WI 53222-2056
(414) 269-9800
(414) 269-9894
Mailing address
4319 N 76TH ST STE 9, MILWAUKEE, WI 53222-2056
(414) 269-9800
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26851025
CNA
WI
Enumeration date
04/11/2016
Last updated
04/11/2016
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