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Organization
BW HOME HEALTH LLC
Active
Organization
BW HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JUANITA C NICKELSON (OWNER)
(414) 704-4217
Entity
Organization
Contact information
Practice address
2501 MCKENNA BLVD, MADISON, WI 53711
(414) 704-4217
Mailing address
733 STRUCK ST UNIT 45617, MADISON, WI 53744-3660
(414) 704-4217
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
02/22/2021
Last updated
02/22/2021
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