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NPI Code Detail

MEDICARE: AMBER HOUSE INC.

MEDICARE: AMBER HOUSE 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
1251E00000XHome Health AgencyWI

General Provider Information

NPI Number : 1134451230
Entity Type Code : Organization
Provider Name (Legal Business Name) : AMBER HOUSE INC.
Provider Business Mailing Address
First Line : 7414 W HAMPTON AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53218-4746
Country : US
Telephone Number : 414-393-9922
Fax Number : 414-393-9923
Provider Business Practice Location Address
First Line : 7414 W HAMPTON AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53218-4746
Country : US
Telephone Number : 414-393-9922
Fax Number : 414-393-9923
Authorized Official
Title or Position : REGISTERED NURSE/OWNER
Name : MS. VIVIAN JULIET ST. JULIEN
Credential :
Telephone Number : 414-379-3636
Provider Enumeration Date : 02/01/2010
Last Update Date : 02/01/2010

Similar Medicare Providers

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Practice Location Address:
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1144280819 — MS. BARBARA ANN COTTON RN
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Directions to “AMBER HOUSE INC. ” Practice Location

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