Organization Name: | HIGHLANDER HOME HEALTH CARE, LLC |
NPI Number: | 1285055434 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RICHARD CHAO VANG (ADMINISTRATOR) |
Mailing Address: | 5626 N 91st St Suite 203 Milwaukee |
State: | WI US |
Postal Code: | 532252745 |
Phone Number: | 4144612331 |
Fax Number: | 4144612332 |
NPI Enumeration Date: | 12/13/2013 |
NPI Last Update Date: | 12/13/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | PCA122 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |