Organization
PROVISIONS HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE SCHROM (REGIONAL MANAGER)
(715) 833-0660
Entity
Organization
Contact information
Practice address
2522 GOLF RD STE 2, EAU CLAIRE, WI 54701-6033
(715) 833-0660
(715) 833-0669
Mailing address
2522 GOLF RD STE 2, EAU CLAIRE, WI 54701-6033
(715) 833-0660
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/20/2021
Last updated
02/12/2025
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