Organization
BOOST HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY GRACE BURNS OTR/L (OWNER)
(715) 220-3015
Entity
Organization
Contact information
Practice address
1198 121ST AVE, NEW RICHMOND, WI 54017-7158
(715) 220-3015
Mailing address
1198 121ST AVE, NEW RICHMOND, WI 54017-7158
(715) 220-3015
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
10/24/2019
Last updated
08/01/2020
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