Organization
ABANA HOME HEALTHCARE AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE HARRIS (OWNER)
(262) 880-6556
Entity
Organization
Contact information
Practice address
310 5TH ST STE 101B, RACINE, WI 53403-4605
(262) 880-6556
Mailing address
PO BOX 81574, RACINE, WI 53408-1574
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/29/2016
Last updated
09/29/2016
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