Organization
D.O.E.R.S
Active
Other names
doing out reach ed support
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHIRLEY ANN MCDONALD (CASE MANAGER)
(608) 635-0179
Entity
Organization
Contact information
Practice address
336 BUENA VISTA DR, ARLINGTON, WI 53911-8554
(608) 635-0179
Mailing address
336 BUENA VISTA DR, ARLINGTON, WI 53911
(608) 635-0179
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
11/22/2016
Last updated
11/22/2016
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