Organization
RECOVER HEALTH OF WISCONSIN, INC.
Active
Other names
Aveanna Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW BUCKHALTER (CFO)
(470) 464-8000
Entity
Organization
Contact information
Practice address
660 W WASHINGTON AVE STE 309, MADISON, WI 53703-4703
(608) 274-8193
(608) 274-8717
Mailing address
400 INTERSTATE NORTH PKWY SE STE 1600, ATLANTA, GA 30339-5047
(470) 464-8000
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100066021
—
WI
05
—
100066025
—
WI
05
—
41534400
—
WI
Enumeration date
06/30/2005
Last updated
01/28/2025
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