MEDICARE: HOMETOWN HELPERS INC.

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
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1467859819
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOMETOWN HELPERS INC.

Provider Business Mailing Address
First Line	:	1116 1/2 17TH AVE
Second Line	:
City	:	MONROE
State	:	WI
Zip	:	53566-2007
Country	:	US
Telephone Number	:	608-329-4574
Fax Number	:	608-329-4576

Provider Business Practice Location Address
First Line	:	1116 1/2 17TH AVE
Second Line	:
City	:	MONROE
State	:	WI
Zip	:	53566-2007
Country	:	US
Telephone Number	:	608-329-4574
Fax Number	:	608-329-4576

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. LISA KLEIN
Credential	:
Telephone Number	:	608-329-4574

Provider Enumeration Date	:	12/01/2014
Last Update Date	:	12/01/2014

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