Organization
WINTERSPRINGS PCA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH SMITH-PITTMAN (OWNER)
(414) 426-2912
Entity
Organization
Contact information
Practice address
7811 W BURLEIGH ST, MILWAUKEE, WI 53222-4914
(414) 444-3125
(414) 873-0632
Mailing address
7811 W BURLEIGH ST, MILWAUKEE, WI 53222-4914
(414) 444-3125
(414) 873-0632
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
100069935
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100069935
—
WI
Enumeration date
12/16/2017
Last updated
12/16/2017
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