MEDICARE: MILWAUKEE HEALTH CARE INC.

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1104100338
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MILWAUKEE HEALTH CARE INC.

Provider Business Mailing Address
First Line	:	PO BOX 241613
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53224-9035
Country	:	US
Telephone Number	:	414-732-6152
Fax Number	:	414-446-9832

Provider Business Practice Location Address
First Line	:	5678 W BROWN DEER RD STE 2
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53223-2365
Country	:	US
Telephone Number	:	414-732-6152
Fax Number	:	414-446-9832

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	JAMES ARYEETEY
Credential	:
Telephone Number	:	414-732-6152

Provider Enumeration Date	:	10/06/2011
Last Update Date	:	10/06/2011

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