Organization
ABANA HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DENISE MONETT HARRIS (OWNER/ADMINISTRATOR)
(262) 676-9461
Entity
Organization
Contact information
Practice address
407 HIGH ST, RACINE, WI 53402-4912
(262) 676-9461
Mailing address
PO BOX 81574, RACINE, WI 53408-1574
(262) 676-9461
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100074930
—
WI
Enumeration date
03/13/2018
Last updated
03/13/2018
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