Organization
NORTHLAND COMMUNITY SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY CHARLES (ADMINISTRATOR)
(608) 296-3811
Entity
Organization
Contact information
Practice address
328 N MAIN ST, WESTFIELD, WI 53964-9039
(608) 296-3811
(608) 296-2480
Mailing address
328 N MAIN ST, WESTFIELD, WI 53964-9039
(608) 296-3811
(608) 296-2480
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
241
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41527300
—
WI
Enumeration date
02/02/2007
Last updated
01/10/2012
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