Organization
UNITED PERSONAL HOMECARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAI SEE VANG YANG (VICE PRESIDENT)
(920) 430-2012
Entity
Organization
Contact information
Practice address
727 E WALNUT ST STE C, GREEN BAY, WI 54301-4063
(920) 430-2012
Mailing address
727 E WALNUT ST STE C, GREEN BAY, WI 54301-4063
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100020081
—
WI
Enumeration date
03/23/2018
Last updated
03/23/2018
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