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Organization

PROFESSIONAL HOME CARE SERVICES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. BARBARA ANN KOZLOSKY (OWNER)
(414) 541-6010
Entity
Organization

Contact information

Practice address
10827 W LINCOLN AVE, WEST ALLIS, WI 53227-1127
(414) 541-6010
(414) 541-5509
Mailing address
10827 W LINCOLN AVE, WEST ALLIS, WI 53227-1127
(414) 541-6010
(414) 541-5509

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
279
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
41530200
WI
Enumeration date
07/15/2006
Last updated
11/21/2011
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