# FOND DU LAC COUNTY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FOND DU LAC COUNTY HOME HEALTH
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679545917
- **Authorized official:** KIMBERLY MUELLER RN, MSN (FOND DU LAC COUNTY HEALTH OFFICER)
- **Authorized official phone:** (920) 929-3085

## Contact information

- **Practice address:** 160 S MACY ST, FOND DU LAC, WI 54935-4241
- **Practice address phone:** (920) 929-3085
- **Practice address fax:** (920) 929-3102
- **Mailing address:** 160 S MACY ST, FOND DU LAC, WI 54935-4241
- **Mailing address phone:** (920) 929-3085
- **Mailing address fax:** (920) 929-3102

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 54 | WI | Yes |

## Other

- **Enumeration date:** 02/02/2006
- **Last updated:** 02/21/2013