# AGNESIAN HEALTHCARE, INC

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

## Provider details

- **NPI number:** 1861467144
- **Authorized official:** TROY WALKER (DIR OF FINANCE)
- **Authorized official phone:** (608) 356-1423

## Contact information

- **Practice address:** 239 TROWBRIDGE DR, FOND DU LAC, WI 54937-9180
- **Practice address phone:** (920) 907-5379
- **Mailing address:** 239 TROWBRIDGE DR, FOND DU LAC, WI 54937-9180
- **Mailing address phone:** (920) 907-5379

## Taxonomy

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

## Other

- **Enumeration date:** 02/21/2006
- **Last updated:** 03/12/2022