MEDICARE: BEST CHOICE PERSONAL CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency	282	WI

General Provider Information

NPI Number	:	1164887238
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEST CHOICE PERSONAL CARE LLC

Provider Business Mailing Address
First Line	:	8420 W SILVER SPRING DR
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53225-2824
Country	:	US
Telephone Number	:	414-306-6005
Fax Number	:	414-377-3723

Provider Business Practice Location Address
First Line	:	8420 W SILVER SPRING DR
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53225-2824
Country	:	US
Telephone Number	:	414-306-6005
Fax Number	:	414-377-3723

Authorized Official
Title or Position	:	OWNER
Name	:	ART STAMOS
Credential	:
Telephone Number	:	414-306-6005

Provider Enumeration Date	:	12/16/2015
Last Update Date	:	12/16/2015

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