Organization
AGAPE SUPPORTIVE LIVING HOMECARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSLAND ANNETTE ANDERSON (VICE PRESIDENT OF ADMINISTRATION)
(414) 462-2097
Entity
Organization
Contact information
Practice address
4726 N 37TH ST, MILWAUKEE, WI 53209-5946
(414) 462-2097
(414) 444-1617
Mailing address
4726 N 37TH ST, MILWAUKEE, WI 53209-5946
(414) 462-2097
(414) 444-1617
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/20/2012
Last updated
08/20/2012
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