Organization
ABLE PERSONAL CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVELISSE RODRIGUEZ (ADMINISTRATOR)
(414) 930-0571
Entity
Organization
Contact information
Practice address
3030 W GRANGE AVE, GREENFIELD, WI 53221-3301
(414) 930-0571
(414) 930-9017
Mailing address
PO BOX 210981, MILWAUKEE, WI 53221-8017
(414) 930-0571
(414) 930-9017
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100044530
—
WI
Enumeration date
11/23/2015
Last updated
11/23/2015
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