Organization
KENOSHA AREA FAMILY AND AGING SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY G BROWN (EXECUTIVE DIRECTOR)
(262) 658-3508
Entity
Organization
Contact information
Practice address
7730 SHERIDAN RD, KENOSHA, WI 53143-1518
(262) 658-3508
(262) 658-2263
Mailing address
7730 SHERIDAN RD, KENOSHA, WI 53143-1518
(262) 658-3508
(262) 658-2263
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44007400
—
WI
Enumeration date
05/05/2008
Last updated
05/05/2008
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