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Organization

GUIDING HANDS LIVING SUPPORT SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JULIA K CVICKER (OWNER)
(503) 979-3659
Entity
Organization

Contact information

Practice address
2028 PRAIRIE AVE, BELOIT, WI 53511-3136
(503) 979-3659
Mailing address
2028 PRAIRIE AVE, BELOIT, WI 53511-3136
(503) 979-3659

Taxonomy

Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
251B00000X
Case Management Agency
251C00000X
Developmentally Disabled Services Day Training Agency
251E00000X
Home Health Agency
Primary
251G00000X
Community Based Hospice Care Agency
252Y00000X
Early Intervention Provider Agency
253Z00000X
In Home Supportive Care Agency
302F00000X
Exclusive Provider Organization
302R00000X
Health Maintenance Organization
305R00000X
Preferred Provider Organization
347C00000X
Private Vehicle
385H00000X
Respite Care
385HR2050X
Respite Care Camp

Other

Enumeration date
02/18/2025
Last updated
02/18/2025
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