Organization
HOMECARE RESOURCES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY L DALTON (ADMINISTRATOR)
(920) 892-7373
Entity
Organization
Contact information
Practice address
1442A PILGRIM RD, PLYMOUTH, WI 53073-4969
(920) 892-7373
(920) 892-7272
Mailing address
1442A PILGRIM RD, PLYMOUTH, WI 53073-4969
(920) 892-7373
(920) 892-7272
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
004000231403501
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41751200
—
WI
Enumeration date
12/06/2005
Last updated
08/22/2020
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