Organization
FAMILY CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIONDRA BOHANON (MARKETING DIRECTOR)
(414) 461-8036
Entity
Organization
Contact information
Practice address
6114 W CAPITOL DR, 306, MILWAUKEE, WI 53216-2147
(414) 461-8036
Mailing address
6114 W CAPITOL DR, MILWAUKEE, WI 53216-2147
(414) 461-8036
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100028479
—
WI
Enumeration date
11/07/2013
Last updated
11/07/2013
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