Organization
WAUSHARA INDUSTRIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICK KING (DIRECTOR OF ADMINISTRATION)
(920) 787-4696
Entity
Organization
Contact information
Practice address
210 E TOWNLINE RD, WAUTOMA, WI 54982
(920) 787-4696
Mailing address
210 E TOWNLINE RD, WAUTOMA, WI 54982
(920) 787-4696
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41424900
—
WI
Enumeration date
05/17/2006
Last updated
08/22/2020
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