Organization
HEARTLAND HOME CARE LLC
Active
Other names
Heartland Home Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN D ALLEN (DIRECTOR)
(419) 252-5734
Entity
Organization
Contact information
Practice address
1145 W MAIN AVE, SUITE 205, DE PERE, WI 54115-1698
(920) 336-6455
(920) 336-6650
Mailing address
333 N SUMMIT ST, ATTN DEAN SHIPMAN, TOLEDO, OH 43604-2615
(419) 254-7841
(419) 252-6448
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
218
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41535900
—
WI
Enumeration date
06/14/2006
Last updated
07/21/2022
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