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Organization
CENTERWELL CERTIFIED HEALTHCARE CORP.
Active
Organization
CENTERWELL CERTIFIED HEALTHCARE CORP.
Active
Other names
CenterWell Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NICHOLS (AUTHORIZED SIGNATORY)
(262) 636-9036
Entity
Organization
Contact information
Practice address
6233 BANKERS ROAD, SUITE 1, RACINE, WI 53403-9700
(262) 636-9036
Mailing address
6330 SPRINT PKWY STE 300, OVERLAND PARK, KS 66211-1157
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
06/24/2006
Last updated
10/24/2023
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