- Enrollment id
- O20030910000025
- Enrollment state
- WI
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1669474821
- Multiple npi flag
- N
- Ccn
- 527212
- Associate id
- 6204747439
- Organization name
- HANNAH HOME HEALTH CARE, INC.
- Incorporation date
- 1990-05-15
- Incorporation state
- WI
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 215 W NORTH ST
- City
- WAUKESHA
- State
- WI
- Zip code
- 531885135