# AMEDISYS WISCONSIN LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Amedisys Home Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467602847
- **Authorized official:** MR. PAUL KUSSEROW (PRESIDENT)
- **Authorized official phone:** (225) 292-2031

## Contact information

- **Practice address:** 2120 S RIDGE RD, GREEN BAY, WI 54304-4327
- **Practice address phone:** (920) 497-1234
- **Practice address fax:** (920) 497-1236
- **Mailing address:** 3854 AMERICAN WAY, SUITE A, BATON ROUGE, LA 70816-4013
- **Mailing address phone:** (225) 292-2031
- **Mailing address fax:** (225) 295-9678

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 1170 | WI | Yes |

## Other

- **Enumeration date:** 09/23/2008
- **Last updated:** 01/18/2017