Organization
COMPASSION PERSONAL HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE LO (OWNER)
(715) 212-2192
Entity
Organization
Contact information
Practice address
613 5TH ST, WAUSAU, WI 54403-4836
(715) 212-2192
Mailing address
613 5TH ST, WAUSAU, WI 54403-4836
(715) 212-2192
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
200010309
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200122544
—
WI
Enumeration date
03/07/2012
Last updated
04/05/2012
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