Organization
COMPASSIONATE HOME HEALTH CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DAWN MARIE RISTOW (CEO/O)
(920) 257-4383
Entity
Organization
Contact information
Practice address
5601 W GRANDE MARKET DR, SUITE M, APPLETON, WI 54913-8511
(920) 257-4383
Mailing address
5601 W GRANDE MARKET DR, SUITE M, APPLETON, WI 54913-8511
(920) 257-4383
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
1000017393
WI
251E00000X
Home Health Agency
164W00000X
WI
251E00000X
Home Health Agency
372600000X
WI
251E00000X
Home Health Agency
376K00000X
WI
253Z00000X
In Home Supportive Care Agency
Primary
372600000X
WI
253Z00000X
In Home Supportive Care Agency
37400000X
WI
253Z00000X
In Home Supportive Care Agency
376J00000X
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000017393
—
WI
Enumeration date
10/14/2011
Last updated
10/14/2011
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