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Organization

HERITAGE HEALTH SERVICES, LLC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RACHEL JOHNSON R.N. (ADMINISTRATOR/DIRECTOR OF NURSING)
(262) 939-5000
Entity
Organization

Contact information

Practice address
6634 DURAND AVE, MOUNT PLEASANT, WI 53406-4963
(262) 554-8800
Mailing address
6634 DURAND AVE, MOUNT PLEASANT, WI 53406-4963
(262) 554-8800

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100037194
WI
Enumeration date
07/14/2015
Last updated
07/14/2015
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