Organization
GPHC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOSIA KING (PRESIDENT)
(262) 748-2596
Entity
Organization
Contact information
Practice address
8626 W GREENFIELD AVE, SUITE A100, MILWAUKEE, WI 53214-4377
(414) 501-2580
(414) 323-7838
Mailing address
8626 W GREENFIELD AVE, SUITE A100, MILWAUKEE, WI 53214-4377
(414) 501-2580
(414) 323-7838
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100044176
—
WI
Enumeration date
03/20/2017
Last updated
03/29/2021
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