# DIVINE SAVIOR HEALTHCARE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Aspirus Tivoli Community
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538124169
- **Authorized official:** MR. JERRY M YANG (SVP & CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (715) 847-2526

## Contact information

- **Practice address:** 2817 NEW PINERY ROAD, DIVINE SAVIOR HEALTHCARE INC, PORTAGE, WI 53901-0387
- **Practice address phone:** (608) 742-4131
- **Practice address fax:** (608) 742-6098
- **Mailing address:** 29980 NETWORK PL, CHICAGO, IL 60673-1299
- **Mailing address phone:** (715) 847-2304
- **Mailing address fax:** (715) 843-1188

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 328 | WI | Yes |

## Other

- **Enumeration date:** 04/18/2006
- **Last updated:** 06/14/2024