Organization
PINNACLE HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KA LO (ADMIN)
(404) 917-4346
Entity
Organization
Contact information
Practice address
228 S MILITARY RD STE 204, FOND DU LAC, WI 54935-4819
(404) 917-4346
(866) 493-9554
Mailing address
879 CARRIAGE RUN CT, LAWRENCEVILLE, GA 30046-2414
(404) 917-4346
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100076774
—
WI
Enumeration date
04/17/2019
Last updated
04/17/2019
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