Provider Demographics
NPI:1093531535
Name:SUGARS LOVING MEMORIES PERSONAL CARE LLC.
Entity type:Organization
Organization Name:SUGARS LOVING MEMORIES PERSONAL CARE LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:WHITNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:PEGUES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-732-9999
Mailing Address - Street 1:8531 W LISBON AVE
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53222-3728
Mailing Address - Country:US
Mailing Address - Phone:414-732-9999
Mailing Address - Fax:
Practice Address - Street 1:3461 N 82ND ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53222-3861
Practice Address - Country:US
Practice Address - Phone:414-732-9999
Practice Address - Fax:608-673-3556
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-30
Last Update Date:2024-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care