Organization
JASMINE HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA MAI HOUA THAO (ADMINISTRATOR)
(920) 358-7001
Entity
Organization
Contact information
Practice address
1528 N BALLARD RD STE 8, APPLETON, WI 54911-4252
(920) 358-7001
Mailing address
1528 N BALLARD RD STE 8, APPLETON, WI 54911-4252
(920) 358-7001
(920) 202-5108
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/18/2023
Last updated
10/18/2023
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