Organization
PROHEALTH HOME CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS W JOHNSON (REIMBURSEMENT MANAGER)
(262) 928-4704
Entity
Organization
Contact information
Practice address
2000 PEWAUKEE RD C, WAUKESHA, WI 53188
(262) 928-7444
(262) 928-7446
Mailing address
2000 PEWAUKEE RD C, WAUKESHA, WI 53188
(262) 928-7444
(262) 928-7446
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41515100
—
WI
01
—
6001234
UNITED HEALTH CARE
WI
Enumeration date
02/21/2006
Last updated
04/20/2016
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