Organization
THERAPEUTIC HEALING PERSONAL CARE AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOSEPHINE SCOTT (OWNER)
(414) 433-6055
Entity
Organization
Contact information
Practice address
11431 N PORT WASHINGTON RD STE 211, MEQUON, WI 53092-3462
(414) 433-6055
(414) 435-9514
Mailing address
11431 N PORT WASHINGTON RD STE 211, MEQUON, WI 53092-3462
(414) 433-6055
(414) 435-9514
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100165867
—
WI
Enumeration date
03/14/2023
Last updated
03/14/2023
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