Professional Home Care Providers

Organization Preferred Provider Organization · NPI 1639446172

Professional Home Care Providers is a Preferred Provider Organization in Pleasant Prairie, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2011.

Licensed in: WI
In the registry since: 2011

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Practice location Address checks out

10152 8th Ave
Pleasant Prairie, WI 53158-5413
Phone: (262) 942-8484

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Preferred Provider Organization (primary)	Taxonomy 305R00000X · Licence 307458-31 (WI)

Record details

NPI number	1639446172
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Anzhela Andreichyk — Lpn · (262) 942-8484
NPI enumerated	November 29, 2011
Last updated in NPPES	December 7, 2011
Mailing address	10152 8th Ave, Pleasant Prairie, WI 53158