# AGING SAFE AT HOME, LLC

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

## Provider details

- **NPI number:** 1659981058
- **Authorized official:** BRIDGET POLLEY DPT (PHYSICAL THERAPIST / OWNER)
- **Authorized official phone:** (920) 538-1548

## Contact information

- **Practice address:** E8811 COUNTY ROAD HH, NEW LONDON, WI 54961-8763
- **Practice address phone:** (920) 538-1548
- **Mailing address:** E8811 COUNTY ROAD HH, NEW LONDON, WI 54961-8763
- **Mailing address phone:** (920) 538-1548

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 07/31/2020
- **Last updated:** 07/31/2020