# SUPPORTIVE HOME SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Supportive Home Services Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285623223
- **Authorized official:** ANNE OSWALD-BALSAVICH (ADMINISTRATOR)
- **Authorized official phone:** (715) 762-3200

## Contact information

- **Practice address:** 1181 4TH AVE N, PARK FALLS, WI 54552-1732
- **Practice address phone:** (715) 762-3200
- **Practice address fax:** (715) 762-3359
- **Mailing address:** 1181 4TH AVE N, PARK FALLS, WI 54552-1732
- **Mailing address phone:** (715) 762-3200
- **Mailing address fax:** (715) 762-3359

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 202 | WI | Yes |

## Other

- **Enumeration date:** 10/20/2005
- **Last updated:** 10/24/2018