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Katherine Braddock
Home Health Agency in Racine, Wisconsin
NPI 1366834376

Katherine Braddock is a Home Health Agency based in Mt Pleasant, WI. Katherine Braddock practices in Racine, WI. The NPI Number for Katherine Braddock is 1366834376 and holds a License No. 1187 (Wisconsin).

The current practice location address for Katherine Braddock is 403 Sixth St, Racine, WI and can be reached out via phone at 262-210-6960. You can also correspond with Katherine Braddock through the mailing address at 3806 LAKEVIEW DR, MT PLEASANT, WI - 53403-9405 (mailing address contact number: 262-210-6960).

Location: 403 Sixth St, Racine, WI, 53403-9405
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366834376
Provider Name
Katherine Braddock
Credential
Provider Entity Type
Individual
Gender
Female
Address
403 Sixth St, Racine, WI, 53403-9405
Phone Number
262-210-6960
Fax Number
Provider Enumeration Date
02/27/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
403 Sixth St
City
Racine
State
Wisconsin
Zip
53403-1217
Phone Number
262-210-6960
Fax Number
person
Provider Business Mailing Address Details
Address
3806 Lakeview Dr
City
Mt Pleasant
State
Wisconsin
Zip
53403-9405
Phone Number
262-210-6960
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
1187 (Wisconsin)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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