Organization
NORTHLAND HOME HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY CHARLES (ADMINISTRATOR)
(608) 296-3811
Entity
Organization
Contact information
Practice address
328 N MAIN ST, WESTFIELD, WI 53964-9039
(608) 296-3811
(608) 296-2480
Mailing address
328 N MAIN ST, WESTFIELD, WI 53964-9039
(608) 296-3811
(608) 296-2480
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
241
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41224800
—
WI
Enumeration date
02/05/2007
Last updated
08/22/2020
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