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Organization

GREENSPAN HOME HEALTH CARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NINA YATES (ADMINISTRATOR)
(414) 763-6000
Entity
Organization

Contact information

Practice address
3521 W NATIONAL AVE, MILWAUKEE, WI 53215-1024
(414) 763-6000
(414) 763-6150
Mailing address
3521 W NATIONAL AVE, MILWAUKEE, WI 53215-1024
(414) 763-6000
(414) 763-6150

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
251J00000X
Nursing Care Agency
253Z00000X
In Home Supportive Care Agency
302R00000X
Health Maintenance Organization
100042075
WI
3747P1801X
Personal Care Attendant

Other

Enumeration date
02/19/2016
Last updated
12/06/2022
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