Organization
HEIZER, LLC
Active
Other names
Heizer Home Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
TEKEYA A BRADSHAW (OWNER/ADMINISTRATOR)
(414) 698-8782
Entity
Organization
Contact information
Practice address
9708 W THURSTON AVE, MILWAUKEE, WI 53225-2527
(414) 935-2732
(414) 831-9978
Mailing address
PO BOX 18115, MILWAUKEE, WI 53218-0115
(414) 698-8782
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100161598
—
WI
Enumeration date
04/26/2021
Last updated
04/26/2021
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