Organization
MARTHAS CORNER HOME HEALTH AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAMEKA INGRAM (OWNER)
(920) 207-5710
Entity
Organization
Contact information
Practice address
555 W BROWN DEER RD STE 218, BAYSIDE, WI 53217-6204
(920) 207-5710
Mailing address
555 W BROWN DEER RD STE 218, BAYSIDE, WI 53217-6204
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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