Organization
INDIANHEAD COMMUNITY ACTION AGENCY INCORPORATED
Active
Other names
Indianhead Home Health Care Agency
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRETT GERBER (CHIEF EXECUTIVE OFFICER)
(715) 532-5594
Entity
Organization
Contact information
Practice address
1000 COLLEGE AVENUE W, LADYSMITH, WI 54848
(715) 532-5594
(715) 532-7808
Mailing address
PO BOX 40, 1000 COLLEGE AVENUE W, LADYSMITH, WI 54848
(715) 532-5594
(715) 532-7808
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
295
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43106500
—
WI
Enumeration date
10/03/2006
Last updated
03/06/2012
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