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General NPI Number Information
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NPI Number | 1023973120
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Entity Type | Organization
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Legal Business Name | PROMISE PERSONAL CARE LLC
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Dates
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Enumeration Date | 12/19/2025
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 5854 S PACKARD AVE STE 1
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City | CUDAHY
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State | WI
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Zip | 53110-2660
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Country | US
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Telephone | 414-367-7117
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Fax |
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Provider Business Mailing Address
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Address Line | 5854 S PACKARD AVE STE 1
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City | CUDAHY
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State | WI
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Zip | 53110-2660
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Country | US
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Telephone | 414-367-7117
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AMADA MORALES ZAMUDIO
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Credential |
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Telephone | 414-397-5140
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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