Organization
WE CARE INDEPENDENCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAKIA SHANAE JACKSON (OWNER/PROVIDER)
(414) 252-2711
Entity
Organization
Contact information
Practice address
10111 W CAPITOL DR, SUITE 8, WAUWATOSA, WI 53222-1335
(414) 252-2711
Mailing address
10111 W CAPITOL DR, SUITE 8, WAUWATOSA, WI 53222-1335
(414) 252-2711
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
WI
Other
Enumeration date
03/14/2017
Last updated
03/14/2017
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