Organization
SUPPORTIVE HOME SERVICES INC
Active
Other names
Supportive Home Services Inc
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE OSWALD-BALSAVICH (ADMINISTRATOR)
(715) 762-3200
Entity
Organization
Contact information
Practice address
1181 4TH AVE N, PARK FALLS, WI 54552-1732
(715) 762-3200
(715) 762-3359
Mailing address
1181 4TH AVE N, PARK FALLS, WI 54552-1732
(715) 762-3200
(715) 762-3359
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
202
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41525100
—
WI
Enumeration date
10/20/2005
Last updated
10/24/2018
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