Organization
AMEDISYS WISCONSIN LLC
Active
Other names
Amedisys Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL KUSSEROW (PRESIDENT)
(225) 292-2031
Entity
Organization
Contact information
Practice address
2120 S RIDGE RD, GREEN BAY, WI 54304-4327
(920) 497-1234
(920) 497-1236
Mailing address
3854 AMERICAN WAY, SUITE A, BATON ROUGE, LA 70816-4013
(225) 292-2031
(225) 295-9678
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1170
WI
Other
Enumeration date
09/23/2008
Last updated
01/18/2017
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