# DUNGARVIN WISCONSIN, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DUNGARVIN GROUP, INC.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1235388463
- **Legal business name:** DUNGARVIN GROUP, INC.
- **Authorized official:** LORI KRESS (CEO)
- **Authorized official phone:** (651) 699-0206

## Contact information

- **Practice address:** 2802 COHO ST STE 101, MADISON, WI 53713-4521
- **Practice address phone:** (608) 316-7666
- **Practice address fax:** (608) 316-7685
- **Mailing address:** 1444 NORTHLAND DR STE 200, MENDOTA HEIGHTS, MN 55120-1032
- **Mailing address phone:** (651) 699-0206
- **Mailing address fax:** (651) 699-0799

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 09/11/2008
- **Last updated:** 04/27/2023