Organization
WASHBURN CO HEALTH AND HUMAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN T MCMAHON (DIRECTOR)
(715) 468-4747
Entity
Organization
Contact information
Practice address
110 4TH AVE W, SHELL LAKE, WI 54871-0250
(715) 468-4747
(715) 468-4753
Mailing address
PO BOX 250, SHELL LAKE, WI 54871-0250
(715) 468-4747
(715) 468-4753
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
43104700
WI
Other
Enumeration date
09/05/2007
Last updated
09/05/2007
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