Individual
LISA ROBERTA MEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
325 S. MILITARY RD., STOCKBRIDGE, WI 53088
(920) 379-7428
Mailing address
PO BOX 393, STOCKBRIDGE, WI 53088-0393
(920) 379-7428
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
WI
253Z00000X
In Home Supportive Care Agency
—
WI
261QA0600X
Adult Day Care Clinic/Center
—
WI
332U00000X
Home Delivered Meals
—
WI
347C00000X
Private Vehicle
—
WI
372600000X
Adult Companion
—
WI
373H00000X
Day Training/Habilitation Specialist
—
WI
3747P1801X
Personal Care Attendant
—
WI
374U00000X
Home Health Aide
—
WI
376J00000X
Homemaker
—
WI
385H00000X
Respite Care
Primary
—
WI
385HR2055X
Child Mental Illness Respite Care
—
WI
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
WI
385HR2065X
Child Physical Disabilities Respite Care
—
WI
Other
Enumeration date
03/02/2020
Last updated
03/03/2020
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