Organization
HEYDE HEALTH SYSTEM, INC
Active
Other names
Eagleton Home FDD
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS L HEYDE (PRESIDENT)
(715) 726-9094
Entity
Organization
Contact information
Practice address
14135 150TH AVE, BLOOMER, WI 54724-4410
(715) 288-6311
(715) 288-6312
Mailing address
345 FRENETTE DR, CHIPPEWA FALLS, WI 54729-3372
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
2970
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20163600
—
WI
Enumeration date
09/20/2005
Last updated
08/22/2020
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