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Evan James Jackelen
Home Health Agency in Eau Claire, Wisconsin
NPI 1588152896

Evan James Jackelen is a Home Health Agency based in Eau Claire, WI. Evan James Jackelen practices in Eau Claire, WI. The NPI Number for Evan James Jackelen is 1588152896 and holds a License No. (Wisconsin).

The current practice location address for Evan James Jackelen is 3721 Hallie Ln, Eau Claire, WI and can be reached out via phone at 715-533-9460.

Location: 3721 Hallie Ln, Eau Claire, WI, 54703-1185
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588152896
Provider Name
Evan James Jackelen
Credential
Provider Entity Type
Individual
Gender
Male
Address
3721 Hallie Ln, Eau Claire, WI, 54703-1185
Phone Number
715-533-9460
Fax Number
Provider Enumeration Date
04/23/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3721 Hallie Ln
City
Eau Claire
State
Wisconsin
Zip
54703-1185
Phone Number
715-533-9460
Fax Number
person
Provider Business Mailing Address Details
Address
3721 Hallie Ln
City
Eau Claire
State
Wisconsin
Zip
54703-1185
Phone Number
715-533-9460
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
()
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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