Organization
HOUSE CALLS OF MENOMONIE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORAH R NOLL (EXECUTIVE DIRECTOR)
(715) 232-6475
Entity
Organization
Contact information
Practice address
1421 N BROADWAY AVE, SUITE 111, MENOMONIE, WI 54751-0361
(715) 232-6475
(715) 232-6477
Mailing address
PO BOX 361, 1421 N BROADWAY AVENUE, SUITE 111, MENOMONIE, WI 54751-0361
(715) 232-6475
(715) 232-6477
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
7917800
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7917800
CHARTABLE ORGANIZATION
WI
Enumeration date
09/16/2008
Last updated
09/16/2008
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