Organization
DIMERA HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD CRROLL (MANAGER)
(414) 551-3489
Entity
Organization
Contact information
Practice address
4002 W FAIROUNT AVE, MILWAUKEE, WI 53209
(414) 551-3489
Mailing address
4002 WEST FAIRMOUNT AVE, MILWAUKEE, WI 53209
(414) 551-3489
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/01/2017
Last updated
02/01/2017
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