Organization
SE ADULT HOME CARE, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT ERNO (CAREGIVER/OWNER)
(715) 892-2665
Entity
Organization
Contact information
Practice address
11662 SHERWOOD LN, ARBOR VITAE, WI 54568-9242
(715) 892-2665
Mailing address
11662 SHERWOOD LN, ARBOR VITAE, WI 54568-9242
(715) 892-2665
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/13/2016
Last updated
04/04/2017
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