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Organization
ST MARYS HOME HEALTH CARE OF WISCONSIN
Active
Organization
ST MARYS HOME HEALTH CARE OF WISCONSIN
Active
Other names
st marys home health care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DOROTHY D EVERETTE HOME CARE (OFFICE MANAGER)
(414) 874-1733
Entity
Organization
Contact information
Practice address
4265 W FOND DU LAC AVE, MILWAUKEE, WI 53216-3527
(414) 874-1733
(414) 874-1737
Mailing address
4265 W FOND DU LAC AVE, MILWAUKEE, WI 53216-3527
(414) 874-1733
(414) 874-1737
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1079
WI
Other
Enumeration date
03/12/2008
Last updated
03/12/2008
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