NPI 1902521065 · live from the CMS NPI Registry
In Home Health, LLC
Internal Medicine, Hospice and Palliative Medicine in Fond Du Lac, WI. National Provider Identifier 1902521065, active.
NPI record
| NPI | 1902521065 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Hospice and Palliative Medicine 207RH0002X |
| Practice location | N6650 Rolling Meadows Dr Ste 1, Fond Du Lac, WI 54937 |
| Practice phone | 920-926-1144 |
| Mailing address | 333 N Summit St, Toledo, OH 43604 |
| Enumerated | October 11, 2022 |
| Last updated | October 11, 2022 |
| Authorized official | Martin Allen, Director |
| Other names | Promedica Hospice (Fond Du Lac) |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Hospice and Palliative Medicine primary | 207RH0002X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.