Organization
HANABI INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT DOUGLAS SOERENS (OWNER/OPERATOR)
(262) 542-5800
Entity
Organization
Contact information
Practice address
2422 N GRANDVIEW BLVD, SUITE 202, WAUKESHA, WI 53188-6105
(262) 542-5800
(262) 542-5838
Mailing address
2422 N GRANDVIEW BLVD, SUITE 202, WAUKESHA, WI 53188-6105
(262) 542-5800
(252) 542-5838
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/06/2010
Last updated
07/06/2010
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