Organization
LIVING ASSISTANCE WAUKESHA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY CHAPMAN (PRESIDENT/OWNER)
(262) 695-4418
Entity
Organization
Contact information
Practice address
120 PARK AVE, PEWAUKEE, WI 53072-3410
(414) 322-4887
Mailing address
120 PARK AVE, PEWAUKEE, WI 53072-3410
(414) 322-4887
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/06/2018
Last updated
02/06/2018
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