Organization
XAVIER HOME HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERMAINE YOUNG (CEO)
(773) 441-1910
Entity
Organization
Contact information
Practice address
1661 N WATER ST STE 504, MILWAUKEE, WI 53202-2086
(773) 441-1910
(414) 386-7913
Mailing address
1661 N WATER ST STE 504, MILWAUKEE, WI 53202-2086
(773) 441-1910
(414) 386-7913
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
100034505
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100034505
—
WI
Enumeration date
04/27/2018
Last updated
04/27/2018
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