Organization
FAMILY HOME HEALTH CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICK K VANG (OWNER/PRESIDENT)
(414) 897-6884
Entity
Organization
Contact information
Practice address
3726 W NATIONAL AVE, MILWAUKEE, WI 53215-1008
(414) 897-6884
(414) 383-1903
Mailing address
3726 W NATIONAL AVE, MILWAUKEE, WI 53215-1008
(414) 897-6884
(414) 383-1903
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
PCA125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100012370
—
WI
Enumeration date
05/13/2010
Last updated
03/13/2014
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