Organization
INDEPENDENT NURSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH J GARWO 164W00000X (LPN)
(608) 467-8367
Entity
Organization
Contact information
Practice address
609 COPERNICUS WAY, MADISON, WI 53718-3096
(608) 467-8367
Mailing address
609 COPERNICUS WAY, MADISON, WI 53718-3096
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38277100
—
WI
Enumeration date
05/17/2006
Last updated
08/22/2020
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