Most Relevant Information
Provider Data
NPI Number: | 1003446865 |
Provider Name: | KHAIRAH LOVE |
Entity Type: | Individual |
Taxonomy Code: | 251E00000X |
Specialty: | Home Health |
License Number: |
Most Important Dates
Enumeration Date: | 01/21/2020 |
Last Updated: | 01/21/2020 |
Provider Practice Location
7330 W GREENFIELD AVE STE 209
MILWAUKEE
WI
532144745
Practice Location Phone/Fax
Phone: | 4148411747 |
Fax: |
Provider Mailing Location
1806 S 44TH ST
MILWAUKEE
WI
532143610
Provider Mailing Phone/Fax
Phone: | 4148411747 |
Fax: |