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Organization

SOURCE OF CARE

Active
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Organization

SOURCE OF CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GEALE KANE (CEO/OWNER)
(608) 906-9511
Entity
Organization

Contact information

Practice address
6203 WILLIAMSBURG WAY APT 314, DEFOREST, WI 53532-9121
(608) 906-9511
Mailing address
6203 WILLIAMSBURG WAY APT 314, DEFOREST, WI 53532-9121
(608) 906-9511

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—

Other

Enumeration date
07/21/2026
Last updated
07/21/2026
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