| NPI | 1992877179 |
|---|---|
| Former Legal Business Name | ELDER CARE OF WISCONSIN, INC. |
| Entity Type | Organization |
| Authorized Contact | ANGELA SEIDL Compliance Officer 608-245-3573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2017-05-25 |