Professional Home Care Providers
NPI #1639446172 in Pleasant Prairie, Wisconsin
Provider Information
- NPI Number
- 1639446172
- Entity Type
- Organization
- Organization Name
- Professional Home Care Providers
- Primary Specialty
- Preferred Provider Organization
- Enumeration Date
- Nov 29, 2011
- Last Updated
- Dec 7, 2011
Practice Location
- Address
- 10152 8TH AVE
- City
- Pleasant Prairie
- State
- Wisconsin
- ZIP Code
- 53158-5413
- Phone
- (262) 942-8484
Authorized Official
- Name
- ANZHELA ANDREICHYK, VENT CERTIFIED
- Title
- LPN
- Phone
- (262) 942-8484
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preferred Provider Organization |
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