Living Assistance Waukesha LLC

NPI #1730688615 in Pewaukee, Wisconsin

Provider Information

NPI Number: 1730688615
Entity Type: Organization
Organization Name: Living Assistance Waukesha LLC
Primary Specialty: Home Health
Enumeration Date: Feb 6, 2018
Last Updated: Feb 6, 2018

Practice Location

Address: 120 PARK AVE
City: Pewaukee
State: Wisconsin
ZIP Code: 53072-3410
Phone: (414) 322-4887

Authorized Official

Name: JEREMY CHAPMAN
Title: PRESIDENT/OWNER
Phone: (262) 695-4418

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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