Organization
THEDACARE, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM FLETT (CFO)
(920) 454-4013
Entity
Organization
Contact information
Practice address
3000 E COLLEGE AVE, SUITE A, APPLETON, WI 54915
(920) 969-0919
(920) 730-3405
Mailing address
3000 E COLLEGE AVE, SUITE A, APPLETON, WI 54915
(920) 969-0919
(920) 730-3433
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
88
WI
251E00000X
Home Health Agency
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41534500
—
WI
Enumeration date
10/05/2006
Last updated
01/02/2024
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