Organization
MT CARE COMPANY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERA STOUGHTENGER (ADMINISTRATOR)
(608) 613-0038
Entity
Organization
Contact information
Practice address
701 HOG ISLAND RD, NEW LISBON, WI 53950-1503
(608) 613-0038
Mailing address
W6480 23RD ST W, NECEDAH, WI 54646-7804
(608) 613-0038
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/13/2025
Last updated
05/13/2025
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