# COUNTRY CARES LLC

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

## Provider details

- **NPI number:** 1780167775
- **Authorized official:** WENDY SUE KASPER (OWNER)
- **Authorized official phone:** (920) 597-0033

## Contact information

- **Practice address:** W8172 COUNTY ROAD B, LAKE MILLS, WI 53551-9727
- **Practice address phone:** (920) 597-0033
- **Practice address fax:** (608) 423-3616
- **Mailing address:** W8172 COUNTY ROAD B, LAKE MILLS, WI 53551-9727
- **Mailing address phone:** (920) 597-0033
- **Mailing address fax:** (608) 423-3616

## Taxonomy

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

## Other

- **Enumeration date:** 09/14/2018
- **Last updated:** 09/14/2018