Provider Demographics
NPI:1043803109
Name:SISTER TO SISTER CARE SERVICES L.L.C
Entity Type:Organization
Organization Name:SISTER TO SISTER CARE SERVICES L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:MIRANDA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:PORTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-915-3018
Mailing Address - Street 1:2210 W VIENNA AVE
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53206-1959
Mailing Address - Country:US
Mailing Address - Phone:414-915-3018
Mailing Address - Fax:
Practice Address - Street 1:2210 W VIENNA AVE
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53206-1959
Practice Address - Country:US
Practice Address - Phone:414-915-3018
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-18
Last Update Date:2021-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management