# NOURISHCARE WISCONSIN

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

## Provider details

- **NPI number:** 1992626204
- **Authorized official:** MISS CASSHEA FOWLER (OWNER)
- **Authorized official phone:** (920) 717-3302

## Contact information

- **Practice address:** 3957 N 39TH ST, MILWAUKEE, WI 53216-2516
- **Practice address phone:** (920) 717-3302
- **Mailing address:** 3957 N 39TH ST, MILWAUKEE, WI 53216-2516
- **Mailing address phone:** (920) 717-3302

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174200000X | Meals Provider | — | NULL | — |
| 332U00000X | Home Delivered Meals | — | NULL | Yes |

## Other

- **Enumeration date:** 07/22/2026
- **Last updated:** 07/22/2026