PROFESSIONAL HOME CARE PROVIDERS
Managed Care Organizations at 8 Ave, Kenosha, WI

License number
Wisconsin 307458-31
Category
Managed Care Organizations
Type
Preferred Provider Organization
Owner
Name: ANZHELA ANDREICHYK VENT CERTIFIED
Title: LPN
Phone: (262) 942-8484
Address
Address
10152 8Th Ave, Kenosha, WI 53158
National Provider ID: 1639446172
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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