Organization
THEDACARE MEDICAL CENTER - BERLIN, INC.
Active
Parent organization
THEDACARE MEDICAL CENTER - BERLIN, INC.
Other names
CHN - Home Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
THEDACARE MEDICAL CENTER - BERLIN, INC.
Authorized official
MR. THOMAS KRYSTOWIAK (CFO)
(920) 361-5580
Entity
Organization
Contact information
Practice address
402 PRESTON LANE, REDGRANITE, WI 54970
(920) 361-5555
(920) 361-5300
Mailing address
225 MEMORIAL DR, BERLIN, WI 54923-1243
(920) 361-5555
(920) 361-5300
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
235
WI
251E00000X
Home Health Agency
Primary
—
WI
Other
Enumeration date
08/25/2005
Last updated
09/17/2015
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