NPI 1316263361

Behavioral Phyisical Therapy, Wellness & Home Care Center LLC

Organisation Home Health Agency Glendale, WI

Practice location

Address: 201 W Coventry CT Suite 316, Glendale, WI 53217-3954
Phone: (414) 352-1826
Fax: (414) 352-1929
Mailing address: 1785 E Sahara Ave Suite 490, Las Vegas, NV 89104-3733

Authorised official

Name: Marvin Lawrence Walker
Title: President
Phone: (414) 352-1826

Registered specialties

Home Health Agency Primary

Agencies Taxonomy 251E00000X

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Registry record

NPI: 1316263361
Entity type: Organization
NPI issued: 15 Apr 2010
Record last updated: 15 Apr 2010

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.