Organization Name: | PROHEALTH HOME CARE, INC. |
NPI Number: | 1356316160 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT W. WALTERS (DIRECTOR, PROHEALTH HOME CARE, INC.) |
Mailing Address: | 1020 James Dr Ste E Hartland |
State: | WI US |
Postal Code: | 53029 |
Phone Number: | 2629287444 |
Fax Number: | 2629287446 |
NPI Enumeration Date: | 02/23/2006 |
NPI Last Update Date: | 12/20/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 527 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |