Organization
IN HOME HEALTH LLC
Active
Other names
Heartland Home Health Care and Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRY A. LAZARUS (VICE PRESIDENT-REIMBURSEMENTS)
(419) 252-5541
Entity
Organization
Contact information
Practice address
63 W PIONEER RD, FOND DU LAC, WI 54935-6151
(262) 334-1988
(262) 334-1394
Mailing address
333 N SUMMIT ST, ATTN: DEAN SHIPMAN, TOLEDO, OH 43604-1531
(419) 254-7841
(419) 252-6448
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41537500
—
WI
Enumeration date
05/16/2006
Last updated
03/15/2013
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