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Organization

HEARTS OF GOLD, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUE DODD (OWNER/ADMINISTRATOR)
(715) 468-2931
Entity
Organization

Contact information

Practice address
38 5TH AVE, SHELL LAKE, WI 54871-4441
(715) 468-2931
Mailing address
PO BOX 220, SHELL LAKE, WI 54871-0220

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
304
WI
251E00000X
Home Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
43107200
WI
Enumeration date
06/01/2005
Last updated
04/26/2019
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