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Organization

COMMUNITY CARE HEALTH PLAN, INC

Active
Parent organization
COMMUNITY CARE INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
COMMUNITY CARE INC
Authorized official
NANCY MELNICK (REGULATORY AFFAIRS SPECIALIST)
(262) 207-9362
Entity
Organization

Contact information

Practice address
205 BISHOPS WAY, BROOKFIELD, WI 53005-6247
(414) 231-4000
(262) 827-7051
Mailing address
205 BISHOPS WAY, BROOKFIELD, WI 53005-6247
(414) 231-4000
(262) 827-7051

Taxonomy

Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
261QA0600X
Adult Day Care Clinic/Center
302R00000X
Health Maintenance Organization
Primary
WI

Other

Enumeration date
01/08/2007
Last updated
12/15/2021
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