Provider Demographics
NPI:1558765933
Name:ALL CARE HEALTH CARE
Entity Type:Organization
Organization Name:ALL CARE HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEMETRICE
Authorized Official - Middle Name:N
Authorized Official - Last Name:RINGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-304-4588
Mailing Address - Street 1:5302 N 63RD ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53218-3115
Mailing Address - Country:US
Mailing Address - Phone:414-304-4588
Mailing Address - Fax:414-464-5330
Practice Address - Street 1:5302 N 63RD ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53218-3115
Practice Address - Country:US
Practice Address - Phone:414-304-4588
Practice Address - Fax:414-464-5330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-14
Last Update Date:2014-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI253Z00000X253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care