Organization
HOSPICE ADVANTAGE, LLC
Active
Other names
Hospice Advantage, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
JODY HOLMAN (ADMINISTRATOR)
(920) 452-1851
Entity
Organization
Contact information
Practice address
1026 S TAYLOR DR, SHEBOYGAN, WI 53081-4773
(920) 452-1851
(920) 452-1852
Mailing address
1026 S TAYLOR DR, SHEBOYGAN, WI 53081-4773
(920) 452-1851
(920) 452-1852
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
2010
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43190200
—
WI
Enumeration date
09/01/2005
Last updated
01/10/2013
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