Organization
BRADLEY HOME HEALTH CARE LLC
Active
Other names
none
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHARLENE SMITH CEO (OWNER)
(414) 873-0797
Entity
Organization
Contact information
Practice address
4007 W CONCORDIA AVE, 4007 WEST CONCORDIA AVE., MILWAUKEE, WI 53216-3623
(414) 873-0797
(414) 873-0797
Mailing address
4007 WEST CONCORDIA AVE, 4007 WEST CONCORDIA AVE, MILWAUKEE, WI 53216-3623
(414) 873-0797
(414) 873-0797
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
—
—
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
251E00000X
WI
Other
Enumeration date
08/26/2008
Last updated
08/26/2008
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