Organization
HEAVENLY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERNADETTE P RODRIGUEZ (PRESIDENT/ CEO)
(414) 610-4557
Entity
Organization
Contact information
Practice address
1016 W PIERCE ST, MILWAUKEE, WI 53204-1327
(414) 610-4557
(414) 434-1981
Mailing address
PO BOX 44331, WEST ALLIS, WI 53214-7331
(414) 434-1981
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/21/2012
Last updated
01/21/2012
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