Organization
HOMME HOME FOR THE AGING INC.
Active
Other names
Homme Home of Wittenberg
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RODNEY WENDORF (CFO)
(715) 253-2125
Entity
Organization
Contact information
Practice address
604 S WEBB ST, WITTENBERG, WI 54499-9040
(715) 253-2125
(715) 253-3538
Mailing address
604 S WEBB ST, WITTENBERG, WI 54499-9040
(715) 253-2125
(715) 253-3538
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
306
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20-153700
—
WI
Enumeration date
02/21/2007
Last updated
08/22/2020
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