Organization
RESTORING LIVES, PERSONAL CARE AGENCY LLC
Active
Other names
Restoring Lives, Personal Care Agency LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLYN L BENNETT-CRITE (OWNER / ADMINISTRATOR)
(815) 944-8354
Entity
Organization
Contact information
Practice address
2829 PERRY, MADISON, WI 53713-3292
(608) 709-5330
(608) 709-5330
Mailing address
2829 PERRY ST, MADISON, WI 53713-3292
(608) 709-5330
(608) 709-5330
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
WI
Other
Enumeration date
11/07/2016
Last updated
11/07/2016
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