Organization
HAECCEITY SUPPORTIVE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHEMIAH BRANDY AMUGHMUN R.N. (OWNER/OPERATOR)
(414) 865-4070
Entity
Organization
Contact information
Practice address
6450 W FOREST HOME AVE STE 102, MILWAUKEE, WI 53220-2401
(414) 865-4070
(414) 249-3471
Mailing address
6450 W FOREST HOME AVE STE 102, MILWAUKEE, WI 53220-2401
(414) 865-4070
(414) 249-3471
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/14/2022
Last updated
09/14/2022
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