Organization
THEDACARE, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM FLETT (CFO)
(920) 454-4013
Entity
Organization
Contact information
Practice address
1405 MILL ST, NEW LONDON, WI 54961-2155
(920) 969-0919
(920) 969-0020
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
(920) 969-0919
(920) 969-0020
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
004-0000148276-01
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41700000
—
WI
Enumeration date
03/05/2009
Last updated
01/02/2024
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