Healthcare Provider Details

I. General information

NPI: 1497689087
Provider Name (Legal Business Name): AFFECTIONATE HANDS AFH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4334 N 89TH ST
MILWAUKEE WI
53222-1729
US

IV. Provider business mailing address

4334 N 89TH ST
MILWAUKEE WI
53222-1729
US

V. Phone/Fax

Practice location:
  • Phone: 414-403-6859
  • Fax:
Mailing address:
  • Phone: 414-403-6859
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number
License Number State

VIII. Authorized Official

Name: KODIE DIOR ROYAL CARTER
Title or Position: OWNER
Credential:
Phone: 414-403-6859