Organization
SOUTHERN HOME HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTINA PIERSON (OWNER)
(414) 627-5060
Entity
Organization
Contact information
Practice address
6001 W CENTER ST STE 100, MILWAUKEE, WI 53210-2154
(414) 627-5060
(414) 988-2318
Mailing address
6001 W CENTER ST STE 100, MILWAUKEE, WI 53210-2154
(414) 627-5060
(414) 988-2318
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/30/2021
Last updated
04/30/2021
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