Organization
OUTREACH TLP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAQUITTA WILLIAMS RN (CASE/CARE MANAGER)
(262) 440-6764
Entity
Organization
Contact information
Practice address
3101 WINDSOR DR, RACINE, WI 53404-1950
(262) 440-6764
Mailing address
3101 WINDSOR DR, RACINE, WI 53404-1950
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
—
—
251B00000X
Case Management Agency
—
—
Other
Enumeration date
08/09/2025
Last updated
08/09/2025
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