# FORT HEALTHCARE, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FORT HEALTHCARE HOME HEALTH
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063566966
- **Authorized official:** MR. JAMES J. NELSON (SENIOR VICE PRESIDENT, FINANCE)
- **Authorized official phone:** (920) 568-5000

## Contact information

- **Practice address:** 611 SHERMAN AVE E, FORT ATKINSON, WI 53538-1960
- **Practice address phone:** (920) 568-5000
- **Mailing address:** 611 SHERMAN AVE E, FORT ATKINSON, WI 53538-1960
- **Mailing address phone:** (920) 568-5000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 137 | WI | Yes |

## Other

- **Enumeration date:** 01/22/2007
- **Last updated:** 10/07/2022