Organization
LIFENET, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY GEORGE FRESLIN (PRESIDENT)
(715) 835-4111
Entity
Organization
Contact information
Practice address
800 WISCONSIN ST STE 305, EAU CLAIRE, WI 54703-3588
(715) 835-4111
(715) 835-4359
Mailing address
PO BOX 1081, EAU CLAIRE, WI 54702
(715) 835-4111
(715) 835-4359
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
335
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43108100
—
WI
Enumeration date
10/03/2007
Last updated
09/03/2008
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