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1619530474
FIRSTLIGHT OF WEST BEND, WI
GERMANTOWN, WI
NPI
1619530474
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Entity Type
Organization
Authorized Contact
KELLY RENEE GENGLER
Owner
920-979-5640
Organization Subpart ?
No
Primary Taxonomy
253Z00000X In Home Supportive Care
Enumeration Date
2019-04-17
Last Update Date
2019-12-03
Business Address
FIRSTLIGHT OF WEST BEND, WI
W175N11163 STONEWOOD DR STE 208
GERMANTOWN, WI 53022-6502
Phone number: 262-299-5989
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Mailing Address
FIRSTLIGHT OF WEST BEND, WI
310 S MILWAUKEE ST
THERESA, WI 53091-9663
Phone number: 920-276-2019
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