Organization
ABOVE AND BEYOND CARE SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PENNY DIANE MIELKE (OWNER/PRESIDENT)
(920) 933-5550
Entity
Organization
Contact information
Practice address
1013 CHURCH STREET, WAUPUN, WI 53963
(920) 933-5550
(920) 933-5550
Mailing address
PO BOX 1582, FOND DU LAC, WI 54936-1582
(920) 933-5550
(920) 933-5552
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
WI
Other
Enumeration date
11/08/2014
Last updated
09/16/2020
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