Organization
HEALTH MANAGMENT CONSORTIUM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANE NOVITZKE (ADMINISTRATOR)
(715) 762-4600
Entity
Organization
Contact information
Practice address
1133 4TH AVE S, PARK FALLS, WI 54552-1922
(715) 762-4600
(715) 762-2835
Mailing address
1133 4TH AVE S, PO BOX 110, PARK FALLS, WI 54552-1922
(715) 762-4600
(715) 762-2835
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
00-0000
WI
Other
Enumeration date
12/01/2006
Last updated
08/22/2020
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