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Reliv Of Southern Wisconsin
Home Health Agency in Beaver Dam, Wisconsin
NPI 1629217062

Reliv Of Southern Wisconsin is a Home Health Agency based in Mayville, WI. Reliv Of Southern Wisconsin practices in Beaver Dam, WI. The NPI Number for Reliv Of Southern Wisconsin is 1629217062 and holds a License No. (Wisconsin).

The current practice location address for Reliv Of Southern Wisconsin is 201 Prairie View Dr, Beaver Dam, WI and can be reached out via phone at 920-356-0681.

Location: 201 Prairie View Dr, Beaver Dam, WI, 53050-1488
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629217062
Provider Name
Reliv Of Southern Wisconsin
Credential
Provider Entity Type
Organization
Address
201 Prairie View Dr, Beaver Dam, WI, 53050-1488
Phone Number
920-356-0681
Fax Number
Provider Enumeration Date
02/09/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
201 Prairie View Dr
City
Beaver Dam
State
Wisconsin
Zip
53916-3406
Phone Number
920-356-0681
Fax Number
person
Provider Business Mailing Address Details
Address
201 Prairie View Dr
City
Beaver Dam
State
Wisconsin
Zip
53916-3406
Phone Number
920-356-0681
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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