Organization
ST MARYS HOME HEALTH CARE OF WISCONSIN
Active
Other names
st marys home health care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DOROTHY D EVERETTE HOME CARE (OFFICE MANAGER)
(414) 874-1733
Entity
Organization
Contact information
Practice address
4265 W FOND DU LAC AVE, MILWAUKEE, WI 53216-3527
(414) 874-1733
(414) 874-1737
Mailing address
4265 W FOND DU LAC AVE, MILWAUKEE, WI 53216-3527
(414) 874-1733
(414) 874-1737
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1079
WI
Other
Enumeration date
03/12/2008
Last updated
03/12/2008
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