Organization
CNA ON THE GO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LUCIANA BENE (OWNER)
(608) 609-8491
Entity
Organization
Contact information
Practice address
8326 INVERNESS DR, MADISON, WI 53717-2647
(608) 609-8491
Mailing address
6516 MONONA DR # 108, MONONA, WI 53716-4026
(608) 609-8491
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
PCA
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100049302
—
WI
Enumeration date
02/03/2016
Last updated
02/03/2016
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