| NPI | 1730241258 |
|---|---|
| Former Legal Business Name | TAKE CARE HEALTH WISCONSIN, INC. |
| Entity Type | Organization |
| Authorized Contact | JENNIFER PHIPPS Chief Financial Official 855-925-4733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2015-12-02 |