Organization
PROMINENT HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AVA MICHELLE STOKES (OWNER)
(414) 966-3400
Entity
Organization
Contact information
Practice address
5215 N IRONWOOD RD STE 202-I1, GLENDALE, WI 53217-4915
(414) 966-3400
(414) 966-3401
Mailing address
5215 N IRONWOOD RD STE 202-I1, GLENDALE, WI 53217-4915
(414) 966-3400
(414) 966-3401
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/04/2022
Last updated
02/04/2022
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