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Organization
EXTENDED CARE SERVICES
Active
Organization
EXTENDED CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA NASH CNA (DIRECTOR)
(262) 353-1910
Entity
Organization
Contact information
Practice address
N112W16298 MEQUON RD # 142, GERMANTOWN, WI 53022-3306
(262) 353-1910
Mailing address
N112W16298 MEQUON RD # 142, GERMANTOWN, WI 53022-3306
(262) 353-1910
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
10/29/2019
Last updated
10/29/2019
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