OrganizationActive
Professional Home Care Providers
NPI 1639446172 · Preferred Provider Organization · Pleasant Prairie, WI
Provider details
- NPI number
- 1639446172
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Anzhela Andreichyk, LPN(262) 942-8484
- License
- 307458-31 (WI)
Specialties & taxonomies
Managed Care Organizations
Practice location
10152 8th Ave
Pleasant Prairie, WI 53158-5413
Phone: (262) 942-8484
Approximate (ZIP-level) locationGet directions
Mailing address
10152 8th Ave
Pleasant Prairie, WI 53158
Registry dates
- Enumerated
- 2011-11-29
- Last updated
- 2011-12-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.