# PROHEALTH HOME CARE INC

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

## Provider details

- **NPI number:** 1497720767
- **Authorized official:** MR. THOMAS W JOHNSON (REIMBURSEMENT MANAGER)
- **Authorized official phone:** (262) 928-4704

## Contact information

- **Practice address:** 2000 PEWAUKEE RD C, WAUKESHA, WI 53188
- **Practice address phone:** (262) 928-7444
- **Practice address fax:** (262) 928-7446
- **Mailing address:** 2000 PEWAUKEE RD C, WAUKESHA, WI 53188
- **Mailing address phone:** (262) 928-7444
- **Mailing address fax:** (262) 928-7446

## Taxonomy

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

## Other

- **Enumeration date:** 02/21/2006
- **Last updated:** 04/20/2016
