Organization
COOPERATIVE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
APRIL STEVENS (PROGRAM MANAGER)
(920) 787-1886
Entity
Organization
Contact information
Practice address
402 EAST MAIN STREET, WAUTOMA, WI 54982
(920) 787-1886
(920) 787-1888
Mailing address
PO BOX 620, WAUTOMA, WI 54982
(920) 787-1886
(920) 787-1888
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/04/2016
Last updated
11/04/2016
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