Organization
DAVIS AND PADEN HOME HEALTH CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEZIMON DAVIS (ADMINISTRATOR)
(618) 719-6388
Entity
Organization
Contact information
Practice address
3707 W GOOD HOPE RD APT 19, MILWAUKEE, WI 53209-2363
(618) 719-6388
Mailing address
916 MILWAUKEE AVE, SOUTH MILWAUKEE, WI 53172-2146
(618) 719-6388
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
WI
Other
Enumeration date
04/16/2015
Last updated
07/23/2015
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