| NPI | 1043250558 |
|---|---|
| Doing Business As | PROMEDICA HOSPICE (MILWAUKEE) |
| Doing Business As | PROMEDICA HOSPICE (KENOSHA) |
| Entity Type | Organization |
| Authorized Contact | MARTIN DAVID ALLEN Director 419-252-5734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based (Licence: WI 2003) |
| Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2022-04-14 |