Healthcare Provider Details

I. General information

NPI: 1790010056
Provider Name (Legal Business Name): HERE I AM HEALING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2009
Last Update Date: 10/05/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 OLD INDIAN TRL
DE FOREST WI
53532-1045
US

IV. Provider business mailing address

400 OLD INDIAN TRL
DE FOREST WI
53532-1045
US

V. Phone/Fax

Practice location:
  • Phone: 608-846-3222
  • Fax:
Mailing address:
  • Phone: 608-846-3222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. CHRISTINA GALE BENSCHE
Title or Position: PRESIDENT
Credential: R.N.
Phone: 608-846-3222