Organization
AGNESIAN HEALTHCARE, INC
Active
Other names
ST AGNES HOSPITAL HOSPICE HOPE
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN N LITTLE (SVP & CFO)
(920) 926-5402
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
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43180400
—
WI
Enumeration date
02/16/2006
Last updated
11/09/2007
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