# HERMINIA ESTRERA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710267489
- **Authorized official:** MRS. HERMINIA ANTIPATIA ESTRERA (BSNRN)
- **Authorized official phone:** (608) 609-9395

## Contact information

- **Practice address:** 1238 JASMINE DR, MADISON, WI 53719-4519
- **Practice address phone:** (608) 609-9395
- **Mailing address:** 1238 JASMINE DR, MADISON, WI 53719-4519
- **Mailing address phone:** (608) 609-9395

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 143854030 | WI | Yes |

## Other

- **Enumeration date:** 08/25/2011
- **Last updated:** 08/25/2011
