NPI 1023372190

Grace Personal Care Services, LLC

Organisation Home Health Agency Milwaukee, WI

Practice location

Address: 3246 N Teutonia Ave, Milwaukee, WI 53206-2265
Phone: (414) 264-4824
Fax: (414) 264-4825
Mailing address: PO Box 6221, Milwaukee, WI 53206-0221

Authorised official

Name: Lantona T. Thornton
Title: Director
Phone: (414) 264-4825

Registered specialties

Home Health Agency Primary

Agencies Taxonomy 251E00000X Licence 100011394 (WI)

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Registry record

NPI: 1023372190
Entity type: Organization
NPI issued: 3 Jul 2012
Record last updated: 3 Jul 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.