Organization
WISCONSIN INDEPENDENT LIVING SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON WEIDNER (OWNER)
(262) 402-7496
Entity
Organization
Contact information
Practice address
817 COLTON ST, WAUKESHA, WI 53186-5126
(262) 402-7496
Mailing address
817 COLTON ST, WAUKESHA, WI 53186-5126
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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