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Organization

COMMUNITY CAREGIVERS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ONG CHANG XIONG RN (REGISTERED NURSE SUPERVISOR)
(920) 830-2001
Entity
Organization

Contact information

Practice address
424 E LONGVIEW DR, SUITE A, APPLETON, WI 54911-2167
(920) 830-2001
(920) 830-2090
Mailing address
424 E LONGVIEW DR, SUITE A, APPLETON, WI 54911-2167
(920) 830-2001
(920) 830-2090

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100037993
WI
Enumeration date
11/20/2014
Last updated
11/20/2014
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