Organization
FOND DU LAC COUNTY
Active
Other names
FOND DU LAC COUNTY HOME HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY MUELLER RN, MSN (FOND DU LAC COUNTY HEALTH OFFICER)
(920) 929-3085
Entity
Organization
Contact information
Practice address
160 S MACY ST, FOND DU LAC, WI 54935-4241
(920) 929-3085
(920) 929-3102
Mailing address
160 S MACY ST, FOND DU LAC, WI 54935-4241
(920) 929-3085
(920) 929-3102
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
54
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
168758245450
HUMANA-LEXINGTON
KY
05
—
41522200
—
WI
Enumeration date
02/02/2006
Last updated
02/21/2013
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