Organization
NOURISHING HOME HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATRICIA L ROBERSON (OWNER/PRESIDENT)
(301) 300-7931
Entity
Organization
Contact information
Practice address
10536 W FOUNTAIN AVE APT 907, MILWAUKEE, WI 53224-3236
(301) 300-7931
Mailing address
10536 W FOUNTAIN AVE APT 907, MILWAUKEE, WI 53224-3236
(301) 300-7931
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/24/2021
Last updated
06/24/2021
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