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1003368226
COOPERATIVE CARE
WAUTOMA, WI
NPI
1003368226
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Entity Type
Organization
Authorized Contact
APRIL STEVENS
Program Manager
920-787-1886
Organization Subpart ?
No
Primary Taxonomy
253Z00000X In Home Supportive Care
Enumeration Date
2016-11-04
Last Update Date
2016-11-04
Business Address
COOPERATIVE CARE
402 EAST MAIN STREET
WAUTOMA, WI 54982
Phone number: 920-787-1886
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Mailing Address
COOPERATIVE CARE
PO BOX 620
WAUTOMA, WI 54982
Phone number: 920-787-1886
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