# POLK COUNTY-DEPT OF ADMINISTRATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Polk County Home Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871719237
- **Authorized official:** GRETCHEN SAMPSON RN, MPH (DIRECTOR)
- **Authorized official phone:** (715) 485-8500

## Contact information

- **Practice address:** 100 POLK COUNTY PLZ, SUITE 180, BALSAM LAKE, WI 54810-9071
- **Practice address phone:** (715) 485-8500
- **Practice address fax:** (715) 485-8501
- **Mailing address:** 100 POLK COUNTY PLZ, SUITE 180, BALSAM LAKE, WI 54810-9071
- **Mailing address phone:** (715) 485-8500
- **Mailing address fax:** (715) 485-8501

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 92 | WI | Yes |

## Other

- **Enumeration date:** 04/17/2007
- **Last updated:** 10/21/2011