# COUNTY OF SHAWANO

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SHAWANO COUNTY DEPT OF HUMAN SERVICES-LAKELAND CENTER PERSONAL CARE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831454370
- **Authorized official:** MR. RICHARD KANE (DIRECTOR)
- **Authorized official phone:** (715) 526-4700

## Contact information

- **Practice address:** 504 LAKELAND ROAD, SHAWANO, WI 54166-3836
- **Practice address phone:** (715) 526-4700
- **Practice address fax:** (715) 526-5542
- **Mailing address:** 504 LAKELAND ROAD, SHAWANO, WI 54166-3836
- **Mailing address phone:** (715) 526-4700
- **Mailing address fax:** (715) 526-5542

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 1831 | WI | Yes |

## Other

- **Enumeration date:** 07/11/2012
- **Last updated:** 01/23/2015
