Organization
ALLIANCE PERSONAL CARE AGENCY LLC
Active
Other names
Alliance Personal Care Agency LLC
Organization subpart
No
Provider details
NPI number
Authorized official
STANLEY GITOGO (SUB ADMINISTRATOR)
(414) 800-7028
Entity
Organization
Contact information
Practice address
3113 MARKET LN APT 1317, KENOSHA, WI 53144-3472
(815) 260-4160
Mailing address
3113 MARKET LN APT 1317, KENOSHA, WI 53144-3472
(815) 260-4160
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/21/2021
Last updated
06/21/2021
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