Organization
HEALTHCARE & HOMECARE STAFFING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIYEESHA WILDER (OWNER)
(608) 222-2322
Entity
Organization
Contact information
Practice address
6320 MONONA DR, SUITE 105, MONONA, WI 53716-3952
(608) 222-2322
(608) 222-2733
Mailing address
6320 MONONA DR, SUITE 105, MONONA, WI 53716-3952
(608) 222-2322
(608) 222-2733
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/12/2008
Last updated
11/12/2008
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