Organization
WOODLAND VILLAGE INC
Active
Other names
Woodlands Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
JULIA HECKL RN (ADMINISTRATOR)
(920) 842-4132
Entity
Organization
Contact information
Practice address
425 MANOR DR, SURING, WI 54174-9182
(920) 842-4132
(920) 842-4133
Mailing address
425 MANOR DR, SURING, WI 54174
(920) 842-4132
(920) 842-4133
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1017
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41536700
—
WI
Enumeration date
06/24/2005
Last updated
08/19/2014
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