Organization
INTERNATIONAL QUALITY HOMECARE OF WISCONSIN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAYNE JOHNSON BS (COMPLIANCE DIRECTOR)
(507) 252-8151
Entity
Organization
Contact information
Practice address
2395 W WASHINGTON ST STE 103, WEST BEND, WI 53095-2147
(866) 677-0590
Mailing address
3261 19TH ST NW, ROCHESTER, MN 55901-6786
(507) 252-8117
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/05/2019
Last updated
03/05/2019
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