Organization
YOUNG VISIONS HOME CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LA SHANDRA NICHELLE YOUNG RN (ADMINISTRATOR)
(414) 914-9339
Entity
Organization
Contact information
Practice address
3115 N 5TH STREET, MILWAUKEE, WI 53212
(414) 914-9339
(414) 914-9239
Mailing address
PO BOX 76068, MILWAUKEE, WI 53216-7668
(414) 914-9339
(414) 914-9239
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
06/23/2023
Last updated
06/27/2023
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