# AVID AT HOME LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457084097
- **Authorized official:** JENNIFER MCLEOD (OWNER/VICE PRESIDENT)
- **Authorized official phone:** (262) 337-4796

## Contact information

- **Practice address:** 810 CARDINAL LN STE 230, HARTLAND, WI 53029-2390
- **Practice address phone:** (262) 337-4796
- **Mailing address:** 810 CARDINAL LN STE 230, HARTLAND, WI 53029-2390
- **Mailing address phone:** (262) 337-4796

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 07/01/2022
- **Last updated:** 07/01/2022