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Organization
NORTHLAND LUTHERAN HOME HEALTH SERVICES, INC.
Active
Organization
NORTHLAND LUTHERAN HOME HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY GUSTAFSON (DIRECTOR OF FINANCE)
(715) 732-0155
Entity
Organization
Contact information
Practice address
925 PINE BEACH RD, MARINETTE, WI 54143-4227
(715) 735-6222
(715) 735-6221
Mailing address
925 PINE BEACH RD, MARINETTE, WI 54143-4227
(715) 735-6222
(715) 735-6221
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
256
WI
Other
Enumeration date
05/31/2005
Last updated
10/14/2015
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