Organization
ANGEL HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FUAD A MOHAMED (PRESIDENT)
(414) 377-0114
Entity
Organization
Contact information
Practice address
5628 W VLIET ST, MILWAUKEE, WI 53208-2122
(414) 377-0114
Mailing address
8601 W CHEYENNE ST, MILWAUKEE, WI 53224-4849
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/08/2014
Last updated
12/08/2014
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