Organization
IMPROVED LIVING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL J SIMON SR. (OWNER / PRESIDENT)
(920) 430-7392
Entity
Organization
Contact information
Practice address
999 N MILITARY AVE, GREEN BAY, WI 54303-4409
(920) 430-7392
(920) 430-7393
Mailing address
999 N MILITARY AVE, GREEN BAY, WI 54303-4409
(920) 430-7392
(920) 430-7393
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
Other
Enumeration date
10/16/2009
Last updated
10/16/2009
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