Organization
BECAUSE THERE'S NO PLACE LIKE HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONAVAN HOLLENBECK (OWNER/REGISTERED AGENT)
(715) 417-2055
Entity
Organization
Contact information
Practice address
473 222ND AVE, SOMERSET, WI 54025-7331
(715) 417-2055
Mailing address
PO BOX 155, STAR PRAIRIE, WI 54026-0155
(715) 417-2055
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/26/2017
Last updated
01/26/2017
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