Organization
IN HOME HEALTH LLC
Active
Other names
ProMedica Hospice (Madison)
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN D ALLEN (DIRECTOR)
(419) 252-5734
Entity
Organization
Contact information
Practice address
2801 CROSSROADS DR STE 2000, MADISON, WI 53718-7994
(608) 819-0033
(608) 819-0048
Mailing address
333 N SUMMIT ST, ATTN BARRY LAZARUS, TOLEDO, OH 43604-1531
(419) 252-5500
(419) 254-5494
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
—
—
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100020310
—
WI
Enumeration date
10/22/2010
Last updated
04/14/2022
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