Organization
MIDSTATE INDEPENDENT LIVING CHOICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZOE NYLUND (EXECUTIVE DIRECTOR)
(715) 344-4210
Entity
Organization
Contact information
Practice address
3262 CHURCH ST, STEVENS POINT, WI 54481-5321
(715) 344-4210
(715) 344-4799
Mailing address
3262 CHURCH ST, STEVENS POINT, WI 54481-5321
(715) 344-4210
(715) 344-4799
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43113000
—
WI
Enumeration date
04/22/2008
Last updated
01/23/2025
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