Organization
CHAMPION HOME HEALTH CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON RULE (OWNER / ADMINISTRATOR)
(414) 255-9050
Entity
Organization
Contact information
Practice address
2537 W SCOTT ST, MILWAUKEE, WI 53204-1959
(414) 255-9050
(414) 255-9052
Mailing address
2537 W SCOTT ST, MILWAUKEE, WI 53204-1959
(414) 255-9050
(414) 255-9052
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100071313
—
WI
Enumeration date
06/13/2018
Last updated
06/13/2018
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