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Organization
ACUMEN OF WISCONSIN, LLC
Active
Organization
ACUMEN OF WISCONSIN, LLC
Active
Other names
Outreach Health Services of Wisconsin, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
TARA KATALINIC (COMPLIANCE ANALYST)
(480) 295-3328
Entity
Organization
Contact information
Practice address
204 3RD AVENUE, SUITE 110, OSCEOLA, WI 54020
(877) 901-5826
(800) 687-3121
Mailing address
5416 E BASELINE RD STE 200, MESA, AZ 85206-4704
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467860114
—
WI
Enumeration date
07/25/2014
Last updated
08/01/2023
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