Organization
PREMIER PERSONAL CARE AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEAL KALAMA PHD (DIRECTOR)
(414) 628-2774
Entity
Organization
Contact information
Practice address
10520 W BLUEMOUND RD STE 105, SUITE #105, WAUWATOSA, WI 53226-4484
(414) 231-3277
(414) 231-3172
Mailing address
10520 W BLUEMOUND RD STE 105, SUITE #105, WAUWATOSA, WI 53226-4484
(414) 231-3277
(414) 231-3172
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100095822
—
WI
Enumeration date
01/31/2020
Last updated
01/31/2020
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