Organization
OMNI HOME HEALTHCARE INCORPORATED
Active
Other names
Omni Personal Care Incorporated
Organization subpart
No
Provider details
NPI number
Authorized official
KIANTE SHIELDS (ADMINISTRATIVE DIRECTOR)
(414) 213-6335
Entity
Organization
Contact information
Practice address
12201 W NORTH AVE, SUITE 101, WAUWATOSA, WI 53226-2061
(414) 204-8462
(262) 342-2673
Mailing address
12201 W NORTH AVE, SUITE 101, WAUWATOSA, WI 53226-2061
(414) 204-8462
(262) 342-2673
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
WI
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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