Compassion Personal Home Care, LLC

Organization Active NPI Home Health Agency · Wausau, WI

NPI 1467726422 · NPPES record last updated Apr 5, 2012

Key facts

NPI
1467726422
Entity type
Organization (NPI type 2)
Primary specialty
Home Health Agency 251E00000X
License
200010309 (WI)
Legal business name
COMPASSION PERSONAL HOME CARE, LLC
Practice address
613 5TH St
Wausau, WI 54403-4836
Phone
(715) 212-2192
NPI assigned
Mar 7, 2012
Organization subpart
No

Authorized official

Name
Mr. Mike Lo
Title
Owner
Phone
(715) 212-2192

National Provider Directory

Locations

613 N 5th St
Wausau, WI 54403
Phone (715) 212-2192

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 200010309 WI Yes

Addresses

Primary practice location

613 5TH St
Wausau, WI 54403-4836

Mailing address

613 5TH St
Wausau, WI 54403-4836
Phone (715) 212-2192

Other identifiers

IdentifierTypeStateIssuer
200122544MedicaidWI

Other providers in Wausau, WI

All providers in Wausau, WI · Home Health Agency in Wisconsin

Sources for this page

Verify at the official NPI Registry.