Organization
HOME AWAY FROM HOME LOVING CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA MARIE BRAEGER (OWNER/DIRECTOR)
(715) 420-2220
Entity
Organization
Contact information
Practice address
1836 N STEVENS ST, RHINELANDER, WI 54501-2161
(715) 420-2220
(715) 420-2279
Mailing address
1836 N STEVENS ST, RHINELANDER, WI 54501-2161
(715) 420-2220
(715) 420-2279
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
0016647
WI
Other
Enumeration date
08/23/2017
Last updated
07/21/2022
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