Organization
EDENS POINTE HOME CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAMYIA LEFLORE (PRESIDENT/ADMINISTRATOR)
(414) 316-3750
Entity
Organization
Contact information
Practice address
1839 N DR MARTIN LUTHER KING DR, MILWAUKEE, WI 53212-3673
(414) 316-3750
Mailing address
1839 N DR MARTIN LUTHER KING DR, MILWAUKEE, WI 53212-3673
(414) 316-3750
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100048198
—
WI
Enumeration date
09/22/2016
Last updated
09/22/2016
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