Provider Demographics
NPI:1821375916
Name:HOME CARE SELECT
Entity Type:Organization
Organization Name:HOME CARE SELECT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:KLOSSING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-725-5190
Mailing Address - Street 1:8285 ADAMS LN
Mailing Address - Street 2:
Mailing Address - City:CASSVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:53806-9618
Mailing Address - Country:US
Mailing Address - Phone:608-725-5190
Mailing Address - Fax:608-725-5195
Practice Address - Street 1:8285 ADAMS LN
Practice Address - Street 2:
Practice Address - City:CASSVILLE
Practice Address - State:WI
Practice Address - Zip Code:53806-9618
Practice Address - Country:US
Practice Address - Phone:608-725-5190
Practice Address - Fax:608-725-5195
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-03
Last Update Date:2011-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care