Organization
SHALOM FAMILY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY J CUMMUTA (BUSINESS MANAGER)
(608) 412-1418
Entity
Organization
Contact information
Practice address
35106 WIND WALKER EST, PRAIRIE DU CHIEN, WI 53821-8078
(608) 412-1418
Mailing address
35106 WIND WALKER EST, PRAIRIE DU CHIEN, WI 53821-8078
(608) 412-1418
(608) 729-4321
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/13/2015
Last updated
04/13/2015
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