Organization
STAY AT HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON BEAUMIA (OPERATIONS COORDINATOR)
(920) 834-4049
Entity
Organization
Contact information
Practice address
102 N MAIN ST STE A, OCONTO FALLS, WI 54154-1433
(920) 834-4049
(920) 834-3049
Mailing address
102 N MAIN ST STE A, OCONTO FALLS, WI 54154-1433
(920) 834-4049
(920) 834-3049
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100042372
—
WI
Enumeration date
12/23/2015
Last updated
03/25/2024
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