Organization Name: | MDS CAA |
NPI Number: | 1003130733 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEBBY WILTZIUS (IN-HOME SERVICES ADMINISTRATOR) |
Mailing Address: | 511 1st Ave N Escanaba |
State: | MI US |
Postal Code: | 498293931 |
Phone Number: | 9067890705 |
Fax Number: | 9067892001 |
NPI Enumeration Date: | 03/24/2010 |
NPI Last Update Date: | 03/24/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 374U00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Nursing Service Related Providers |
Taxonomy Classification: | Home Health Aide |
Taxonomy Specialization: | |
Taxonomy Definition: | A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |