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Organization
INTERNATIONAL QUALITY HOMECARE OF WISCONSIN LLC
Active
Organization
INTERNATIONAL QUALITY HOMECARE OF WISCONSIN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAYNE JOHNSON BS (COMPLIANCE DIRECTOR)
(507) 252-8151
Entity
Organization
Contact information
Practice address
2395 W WASHINGTON ST STE 103, WEST BEND, WI 53095-2147
(866) 677-0590
Mailing address
3261 19TH ST NW, ROCHESTER, MN 55901-6786
(507) 252-8117
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
03/05/2019
Last updated
03/05/2019
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