Organization
ACUMEN OF WISCONSIN, LLC
Active
Other names
Outreach Health Services of Wisconsin, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
TARA KATALINIC (COMPLIANCE ANALYST)
(480) 295-3328
Entity
Organization
Contact information
Practice address
204 3RD AVENUE, SUITE 110, OSCEOLA, WI 54020
(877) 901-5826
(800) 687-3121
Mailing address
5416 E BASELINE RD STE 200, MESA, AZ 85206-4704
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467860114
—
WI
Enumeration date
07/25/2014
Last updated
08/01/2023
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