| NPI | 1184712713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE MISOVEC VP Programs 920-593-3599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable (Licence: WI 611-800) |
| Additional Taxonomies | 251E00000X Home Health |
| 261QA0600X Clinic/Center, Adult Day Care | |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2025-03-05 |