Organization
STA HOME HEALTHCARE LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODTIANA THOMPSON (OWNER)
(414) 722-7100
Entity
Organization
Contact information
Practice address
7430 HARWOOD AVE STE 150, WAUWATOSA, WI 53213-2641
(414) 722-7100
Mailing address
7430 HARWOOD AVE STE 150, WAUWATOSA, WI 53213-2641
(414) 722-7100
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/09/2021
Last updated
11/09/2021
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