Provider Demographics
NPI:1659525947
Name:HEALTHCARE & HOMECARE STAFFING
Entity Type:Organization
Organization Name:HEALTHCARE & HOMECARE STAFFING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KIYEESHA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-222-2322
Mailing Address - Street 1:6320 MONONA DR
Mailing Address - Street 2:SUITE 105
Mailing Address - City:MONONA
Mailing Address - State:WI
Mailing Address - Zip Code:53716-3952
Mailing Address - Country:US
Mailing Address - Phone:608-222-2322
Mailing Address - Fax:608-222-2733
Practice Address - Street 1:6320 MONONA DR
Practice Address - Street 2:SUITE 105
Practice Address - City:MONONA
Practice Address - State:WI
Practice Address - Zip Code:53716-3952
Practice Address - Country:US
Practice Address - Phone:608-222-2322
Practice Address - Fax:608-222-2733
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-12
Last Update Date:2008-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health