Organization
EMPOWERMENT LIVING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN D. BURGESS (MANAGING PARTNER)
(920) 851-5594
Entity
Organization
Contact information
Practice address
165 PLUMMER CT, NEENAH, WI 54956-2367
(920) 851-5594
(920) 558-4962
Mailing address
165 PLUMMER CT, NEENAH, WI 54956-2367
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/19/2011
Last updated
10/19/2011
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