| NPI | 1992744775 |
|---|---|
| Doing Business As | SOUTHERNCARE GREEN BAY |
| Entity Type | Organization |
| Authorized Contact | JESSICA KLEBERG VP Of Legal Affairs 704-664-2876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based (Licence: WI 2016) |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2017-11-13 |