Organization
LEAN ON ME HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY LONGHENRY (OWNER)
(715) 463-5004
Entity
Organization
Contact information
Practice address
134 W MADISON AVE, GRANTSBURG, WI 54840-7022
(715) 463-5004
Mailing address
134 W MADISON AVE, GRANTSBURG, WI 54840-7022
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100023524
—
WI
Enumeration date
04/29/2015
Last updated
04/29/2015
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