Organization
HHA OF WISCONSIN, LLC
Active
Parent organization
HHA OF WISCONSIN, LLC
Other names
Almost Family
Organization subpart
Yes
Provider details
NPI number
Legal business name
HHA OF WISCONSIN, LLC
Authorized official
MR. NICHOLAS GACHASSIN III (EXECUTIVE VICE PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
3900 HALL AVE, SUITE A, MARINETTE, WI 54143-1062
(715) 735-6490
(715) 735-6461
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 223-1307
(337) 443-4154
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100061686
—
WI
05
—
1659728616
—
MI
Enumeration date
05/19/2016
Last updated
07/29/2020
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