Organization
DEACONESS HOME HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUSTIN D HERN (CHIEF OPERATING OFFICER)
(414) 431-9760
Entity
Organization
Contact information
Practice address
2778 S 35TH ST, MILWAUKEE, WI 53215-3545
(414) 431-9760
(414) 431-9759
Mailing address
2778 S 35TH ST, MILWAUKEE, WI 53215-3545
(414) 431-9760
(414) 431-9759
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1037
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41537800
—
WI
Enumeration date
03/14/2007
Last updated
05/11/2012
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