# INDIANHEAD COMMUNITY ACTION AGENCY INCORPORATED

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Indianhead Home Health Care Agency
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306930698
- **Authorized official:** MR. BRETT GERBER (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (715) 532-5594

## Contact information

- **Practice address:** 1000 COLLEGE AVENUE W, LADYSMITH, WI 54848
- **Practice address phone:** (715) 532-5594
- **Practice address fax:** (715) 532-7808
- **Mailing address:** PO BOX 40, 1000 COLLEGE AVENUE W, LADYSMITH, WI 54848
- **Mailing address phone:** (715) 532-5594
- **Mailing address fax:** (715) 532-7808

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 295 | WI | Yes |

## Other

- **Enumeration date:** 10/03/2006
- **Last updated:** 03/06/2012