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Organization

VANGUARD HOME HEALTH SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANGELIQUE GRAY (ADMINISTRATION)
(414) 216-4516
Entity
Organization

Contact information

Practice address
1033 N MAYFAIR RD STE 300, WAUWATOSA, WI 53226-3442
(414) 216-4516
(414) 527-1063
Mailing address
9310 N 107TH ST, MILWAUKEE, WI 53224-1121
(414) 216-4516
(414) 527-1063

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
11/23/2015
Last updated
06/13/2019
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