Organization
GUARDIAN PROPERTIES OF WISCONSIN
Active
Other names
Community Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES G WITUCKI (CEO)
(715) 677-4625
Entity
Organization
Contact information
Practice address
10231 PENNY LAKE RD, ROSHOLT, WI 54473-8862
(715) 677-4625
Mailing address
10231 PENNY LAKE RD, ROSHOLT, WI 54473-8862
(715) 677-4625
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
12/16/2008
Last updated
12/16/2008
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