Hha of Wisconsin, LLC

NPI #1659728616 in Marinette, Wisconsin

Provider Information

NPI Number: 1659728616
Entity Type: Organization
Organization Name: Hha of Wisconsin, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: HHA OF WISCONSIN, LLC
Primary Specialty: Home Health
Enumeration Date: May 19, 2016
Last Updated: Jul 29, 2020

Practice Location

Address: 3900 HALL AVE
Address 2: SUITE A
City: Marinette
State: Wisconsin
ZIP Code: 54143-1062
Phone: (715) 735-6490

Authorized Official

Name: MR. NICHOLAS GACHASSIN III
Title: EXECUTIVE VICE PRESIDENT
Phone: (337) 233-1307

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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