Organization
SUPERIOR HOME CARE L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JESSICA JUSTINIANO (OWNER)
(414) 514-9274
Entity
Organization
Contact information
Practice address
1210 W NORTH AVE APT 204, MILWAUKEE, WI 53205-1259
(414) 514-9274
(414) 265-2249
Mailing address
1210 W NORTH AVE APT 204, MILWAUKEE, WI 53205-1259
(414) 514-9274
(414) 265-2249
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/08/2012
Last updated
07/08/2012
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