Organization
AVID AT HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER MCLEOD (OWNER/VICE PRESIDENT)
(262) 337-4796
Entity
Organization
Contact information
Practice address
810 CARDINAL LN STE 230, HARTLAND, WI 53029-2390
(262) 337-4796
Mailing address
810 CARDINAL LN STE 230, HARTLAND, WI 53029-2390
(262) 337-4796
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/01/2022
Last updated
07/01/2022
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