| NPI | 1871176560 |
|---|---|
| Doing Business As | GREEN LAKE COUNTY DHHS |
| Entity Type | Organization |
| Authorized Contact | JASON N JEROME Director 920-294-4070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2021-04-30 |
| Last Update Date | 2021-04-30 |