Organization
CONCORD HOLDING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TATYANA BABAKHANOV (OWNER)
(414) 899-2365
Entity
Organization
Contact information
Practice address
11512 N PORT WASHINGTON RD STE 200, MEQUON, WI 53092-3481
(414) 899-2365
Mailing address
7080 W. CREEKSIDE CT., MEQUON, WI 53092
(414) 745-8250
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/29/2025
Last updated
08/29/2025
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