Organization
JAZARAH CARES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHONDRA DUNCAN (OWNER)
(414) 716-6169
Entity
Organization
Contact information
Practice address
11414 W PARK PL STE 202, MILWAUKEE, WI 53224-3500
(414) 745-1503
Mailing address
11414 W PARK PL STE 202, MILWAUKEE, WI 53224-3500
(414) 745-1503
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100148480
—
WI
Enumeration date
10/27/2022
Last updated
10/27/2022
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