Organization
GUNDERSEN HOSPITAL AT HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELISA HARRIS (GENERAL COUNSEL)
(615) 491-8070
Entity
Organization
Contact information
Practice address
1910 SOUTH AVE, LA CROSSE, WI 54601-5467
(608) 782-7300
Mailing address
49 MUSIC SQ W STE 401, NASHVILLE, TN 37203-3287
(615) 635-0294
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
12/08/2020
Last updated
04/30/2021
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