Organization
COMPASSIONATE CARE HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WANDA WELCH (OWNER/ADMINISTRATOR)
(414) 326-0503
Entity
Organization
Contact information
Practice address
6051 W BROWN DEER RD, SUITE 101, BROWN DEER, WI 53223-2263
(414) 269-8506
(414) 877-6051
Mailing address
6051 W BROWN DEER RD STE 105, BROWN DEER, WI 53223-2263
(414) 269-8506
(414) 877-6051
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
153487-30
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100043185
—
WI
Enumeration date
09/27/2015
Last updated
01/01/2018
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