Midwest Eminence Care, LLC
NPI #1063938264 in Brookfield, Wisconsin
Provider Information
- NPI Number
- 1063938264
- Entity Type
- Organization
- Organization Name
- Midwest Eminence Care, LLC
- Primary Specialty
- Technician - Personal Care Attendant
- Enumeration Date
- Aug 18, 2017
- Last Updated
- Aug 17, 2023
Practice Location
- Address
- 200 S EXECUTIVE DR STE 101
- City
- Brookfield
- State
- Wisconsin
- ZIP Code
- 53005-4216
- Phone
- (262) 789-2759
Authorized Official
- Name
- MS. CRYSTAL AVERY
- Title
- ADMINISTRATOR
- Phone
- (262) 789-2759
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Personal Care Attendant — Personal Care Attendant |
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