Organization
LOVELY MOM HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TUAY HAY RAH (OWNER)
(414) 377-2964
Entity
Organization
Contact information
Practice address
4379 S HOWELL AVE STE 13, MILWAUKEE, WI 53207-5053
(414) 377-2964
Mailing address
4379 S HOWELL AVE STE 13, MILWAUKEE, WI 53207-5053
(414) 377-2964
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/03/2022
Last updated
06/03/2022
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