Organization
IDABEE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUKE CHRISTIE (ADMINISTRATOR)
(414) 539-4855
Entity
Organization
Contact information
Practice address
4714 N 58TH ST, MILWAUKEE, WI 53218-5035
(414) 539-4855
Mailing address
PO BOX 17, MILWAUKEE, WI 53201-0017
(414) 539-4855
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/14/2020
Last updated
12/14/2020
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