Organization
AMERICANWAY OF SAUK COUNTY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANIS DEETS NOWAK CPA,NHA (SOLE MEMBER)
(608) 566-1500
Entity
Organization
Contact information
Practice address
S7559 US HIGHWAY 12, NORTH FREEDOM, WI 53951-9532
(608) 643-2232
(608) 643-2841
Mailing address
602 E ALBERT ST, SUITE 3, PORTAGE, WI 53901-1463
(608) 566-1500
(608) 566-1501
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
WI
Other
Enumeration date
02/10/2011
Last updated
02/10/2011
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