Organization
ACTIVE CARE HOME HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEKSANDER RUDAKOV (PRESIDENT)
(415) 812-2955
Entity
Organization
Contact information
Practice address
12936 N COLONY DR, MEQUON, WI 53097-2302
(415) 812-2955
Mailing address
12936 N COLONY DR, MEQUON, WI 53097-2302
(415) 812-2955
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/14/2010
Last updated
08/14/2010
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