Organization
SUNVALE HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUKIE CHRISTIE (ADMINISTRATOR)
(414) 539-4855
Entity
Organization
Contact information
Practice address
4714 N 58TH ST, MILWAUKEE, WI 53218
(414) 464-2374
(414) 464-2353
Mailing address
PO BOX 17, MILWAUKEE, WI 53201-0017
(313) 282-4953
(414) 464-2353
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
0010101
WI
251E00000X
Home Health Agency
0013058
WI
251E00000X
Home Health Agency
Primary
0013808
WI
251E00000X
Home Health Agency
0014111
WI
251E00000X
Home Health Agency
0015427
WI
Other
Enumeration date
05/22/2018
Last updated
10/22/2020
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