Organization
BRUSS SUPPORTIVE COMMUNITY LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD BRUSS (OWNER)
(920) 606-0588
Entity
Organization
Contact information
Practice address
3501 DELAHAUT ST, GREEN BAY, WI 54301-1222
(920) 606-0588
(920) 336-9965
Mailing address
3501 DELAHAUT ST, GREEN BAY, WI 54301-1222
(920) 606-0588
(920) 336-9965
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
WI
Other
Enumeration date
06/08/2015
Last updated
06/08/2015
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