Organization
HEALTH & NUTRITION SERVICE OF RACINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGIE CARRINGTON R.D. (EXECUTIVE DIRECTOR)
(262) 637-7750
Entity
Organization
Contact information
Practice address
2316 RAPIDS DR, RACINE, WI 53404-2011
(262) 637-7750
(262) 637-7926
Mailing address
2316 RAPIDS DR, RACINE, WI 53404-2011
(262) 637-7750
(262) 637-7926
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251K00000X
Public Health or Welfare Agency
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41858300
—
WI
05
—
44010800
—
WI
Enumeration date
09/19/2007
Last updated
04/30/2008
Update your record
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