Petra's Living Assistance, LLC

NPI #1700335270 in Pewaukee, Wisconsin

Provider Information

NPI Number
1700335270
Entity Type
Organization
Organization Name
Petra's Living Assistance, LLC
Primary Specialty
In Home Supportive Care
Enumeration Date
Sep 26, 2016
Last Updated
Sep 26, 2016

Practice Location

Address
347 PARK AVE
ZIP Code
53072-3413
Phone
(262) 695-4418

Authorized Official

Name
SCOTT STOLLENWERK
Title
CEO
Phone
(262) 695-4418

Specialties & Taxonomy Codes

Specialty
In Home Supportive Care

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