Organization
WILDCAT LEGACY SCHOOL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW RICHARD EVENSON (OWNER)
(715) 533-0194
Entity
Organization
Contact information
Practice address
223 S MAIN ST, BLAIR, WI 54616-2301
(608) 864-2050
Mailing address
PO BOX 7, ELEVA, WI 54738-0007
(715) 533-0194
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/28/2025
Last updated
03/31/2026
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