Organization
HOMME HEIGHTS INC.
Active
Other names
Forest Park Village
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MELISSA ANN BEESE (FINANCE DIRECTOR)
(715) 253-2125
Entity
Organization
Contact information
Practice address
2901 N 7TH ST, WAUSAU, WI 54403-4219
(715) 845-1214
Mailing address
604 S WEBB ST, WITTENBERG, WI 54499-9040
(715) 253-2125
(715) 253-3293
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
—
—
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ES34517
VA
WI
Enumeration date
08/26/2019
Last updated
08/26/2019
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