Organization
SHARON S. RICHARDSON HOSPICE HOME, INC
Active
Other names
Sharon S. Richardson Hospice Home & Palliative Care Retreat, Sharon S. Richardson Community Hospice, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MARILYN L MASI (CFO)
(920) 467-7969
Entity
Organization
Contact information
Practice address
W2862 STATE ROAD 28, SHEBOYGAN FALLS, WI 53085
(920) 467-1800
(920) 467-1900
Mailing address
W2850 STATE ROAD 28, SHEBOYGAN FALLS, WI 53085-2702
(920) 467-1800
(920) 467-1900
Taxonomy
Speciality
Code
Description
License number
State
163WH1000X
Hospice Registered Nurse
114429-030
WI
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
—
—
251G00000X
Community Based Hospice Care Agency
Primary
—
—
315D00000X
Inpatient Hospice
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43191300
—
WI
Enumeration date
10/13/2006
Last updated
08/23/2024
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