Organization
NORTHERN BRIDGES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANETTE M BOISSY R.N. (REGISTERED NURSE)
(715) 418-3502
Entity
Organization
Contact information
Practice address
805 200TH ST, DRESSER, WI 54009-4509
(715) 755-2480
Mailing address
935 235TH ST, DRESSER, WI 54009-9073
(715) 755-3503
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
177109-30
WI
Other
Enumeration date
06/28/2012
Last updated
06/28/2012
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