# HEART BEAT OF WISCONSIN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063951234
- **Authorized official:** SIERIA PAYNE (ADMINISTRATOR)
- **Authorized official phone:** (262) 676-2659

## Contact information

- **Practice address:** 10531 N MAGNOLIA DR, MEQUON, WI 53092-5532
- **Practice address phone:** (262) 676-2659
- **Mailing address:** 10531 N MAGNOLIA DR, MEQUON, WI 53092-5532

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/21/2017
- **Last updated:** 02/21/2017