Organization
CLEAR WATER HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YER Y XIONG BSN (ADMINISTRATOR)
(715) 514-1520
Entity
Organization
Contact information
Practice address
1729 WESTGATE RD, EAU CLAIRE, WI 54703-4964
(715) 514-1520
(715) 514-1668
Mailing address
1729 WESTGATE RD, EAU CLAIRE, WI 54703-4964
(715) 514-1520
(715) 514-1668
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100029815
—
WI
Enumeration date
08/04/2015
Last updated
08/04/2015
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