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1851667703
MIRACLE HOME HEALTH OF WISCONSIN INC
GLENDALE, WI
NPI
1851667703
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Entity Type
Organization
Authorized Contact
ARKADIY KOPSHTEYN
CEO/Owner
414-797-2254
Organization Subpart ?
No
Primary Taxonomy
251E00000X Home Health
(Licence: WI 1174)
Enumeration Date
2012-03-26
Last Update Date
2023-10-24
Business Address
MIRACLE HOME HEALTH OF WISCONSIN INC
7545 N PORT WASHINGTON RD STE 3
GLENDALE, WI 53217-3422
Phone number: 414-797-2254
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Mailing Address
MIRACLE HOME HEALTH OF WISCONSIN INC
7545 N PORT WASHINGTON RD STE 3
GLENDALE, WI 53217-3422
Phone number: 414-915-0838
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