Organization
AGNESIAN HEALTHCARE, INC
Active
Other names
SSM HEALTH AT HOME HOME HEALTH FOND DU LAC
Organization subpart
No
Provider details
NPI number
Authorized official
TROY WALKER (DIR OF FINANCE)
(608) 356-1423
Entity
Organization
Contact information
Practice address
239 TROWBRIDGE DR, FOND DU LAC, WI 54937-9180
(920) 907-5379
Mailing address
239 TROWBRIDGE DR, FOND DU LAC, WI 54937-9180
(920) 907-5379
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41507400
—
WI
Enumeration date
02/21/2006
Last updated
03/12/2022
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