Organization
KENOSHA VISITING NURSE ASSOCIATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBRA JENE HERTZBERG (PRESIDENT)
(262) 656-8400
Entity
Organization
Contact information
Practice address
600 52ND ST, SUITE 300, KENOSHA, WI 53140-3423
(262) 656-8400
(262) 656-8403
Mailing address
600 52ND ST, SUITE 300, KENOSHA, WI 53140-3423
(262) 656-8400
(262) 656-8403
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
65
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41518600
—
WI
Enumeration date
02/10/2006
Last updated
08/22/2020
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