Organization
CAREGIVER CONNECTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FATAESHIA CLARK (OWNER)
(608) 347-1003
Entity
Organization
Contact information
Practice address
1525 KENILWORTH CT APT 7, STOUGHTON, WI 53589-1996
(608) 347-1003
Mailing address
1525 KENILWORTH CT APT 7, STOUGHTON, WI 53589-1996
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/21/2020
Last updated
08/21/2020
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