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NPI Code Detail

MEDICARE: NSH APPLEGATE LLC

MEDICARE: NSH APPLEGATE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251J00000XNursing Care Agency

General Provider Information

NPI Number : 1285150409
Entity Type Code : Organization
Provider Name (Legal Business Name) : NSH APPLEGATE LLC
Provider Business Mailing Address
First Line : 5150 N PORT WASHINGTON RD STE 260
Second Line :
City : MILWAUKEE
State : WI
Zip : 53217-5470
Country : US
Telephone Number : 414-962-5251
Fax Number : 414-962-5259
Provider Business Practice Location Address
First Line : 3001 WESTHILL DR
Second Line :
City : WAUSAU
State : WI
Zip : 54401-3774
Country : US
Telephone Number : 715-849-1514
Fax Number :
Authorized Official
Title or Position : MANAGING MEMBER
Name : JEFFREY HOEHN
Credential :
Telephone Number : 414-962-5251
Provider Enumeration Date : 08/18/2017
Last Update Date : 08/18/2017

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