Organization
MIDWEST HOME HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAI GE VANG RN (CO-OWNER)
(920) 965-9112
Entity
Organization
Contact information
Practice address
2475 UNIVERSITY AVE, UNIT J, GREEN BAY, WI 54302-5099
(920) 965-9112
(920) 965-9111
Mailing address
2475 UNIVERSITY AVE, UNIT J, GREEN BAY, WI 54302-5099
(920) 965-9112
(920) 965-9111
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100040357
—
WI
Enumeration date
10/16/2015
Last updated
10/16/2015
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