Organization
ANGELS ON WHEELS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA R RIECKMAN (BOOKKEEPER)
(715) 661-3650
Entity
Organization
Contact information
Practice address
75734 WEST RD, BUTTERNUT, WI 54514-9149
(715) 661-3650
Mailing address
75734 WEST RD, BUTTERNUT, WI 54514-9149
(715) 661-3650
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
253Z00000X
In Home Supportive Care Agency
—
—
347C00000X
Private Vehicle
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
07/30/2019
Last updated
07/30/2019
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