Organization
RN PRIVATE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRACY LORRAINE EDWARDS RN (REGISTERED NURSE)
(414) 610-1915
Entity
Organization
Contact information
Practice address
8325 N TEUTONIA AVE, BROWN DEER, WI 53209-1558
(414) 610-1915
Mailing address
8325 N TEUTONIA AVE, BROWN DEER, WI 53209-1558
(414) 610-1915
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251F00000X
Home Infusion Agency
—
—
251J00000X
Nursing Care Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952541757
—
WI
Enumeration date
06/09/2009
Last updated
06/09/2009
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