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Pheng Thao
Home Health Agency in Sheboygan, Wisconsin
NPI 1710445242

Pheng Thao is a Home Health Agency based in Sheboygan, WI. Pheng Thao practices in Sheboygan, WI. The NPI Number for Pheng Thao is 1710445242 and holds a License No. (Wisconsin).

The current practice location address for Pheng Thao is 1227 N 9Th St, Sheboygan, WI and can be reached out via phone at 920-395-2025 and via fax at 920-783-6033. You can also correspond with Pheng Thao through the mailing address at 1227 N 9TH ST, SHEBOYGAN, WI - 53081-3407 (mailing address contact number: 920-395-2025).

Location: 1227 N 9Th St, Sheboygan, WI, 53081-3407
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710445242
Provider Name
Pheng Thao
Credential
Provider Entity Type
Individual
Gender
Male
Address
1227 N 9Th St, Sheboygan, WI, 53081-3407
Phone Number
920-395-2025
Fax Number
920-783-6033
Provider Enumeration Date
03/04/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1227 N 9Th St
City
Sheboygan
State
Wisconsin
Zip
53081-3407
Phone Number
920-395-2025
Fax Number
920-783-6033
person
Provider Business Mailing Address Details
Address
1227 N 9Th St
City
Sheboygan
State
Wisconsin
Zip
53081-3407
Phone Number
920-395-2025
Fax Number
920-783-6033
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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