Organization
SEKARA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF BURGOYNE (OWNER/MEMBER)
(715) 551-0269
Entity
Organization
Contact information
Practice address
1916 BROOKVIEW CT, WAUSAU, WI 54403-9327
(715) 845-1110
Mailing address
PO BOX 1441, WAUSAU, WI 54402-1441
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/14/2011
Last updated
02/14/2011
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