Organization
DOVE INC
Active
Other names
The Dove Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREG ANSELM LEIVISKA (ADMINISTRATOR)
(715) 392-3133
Entity
Organization
Contact information
Practice address
1416 CUMMING AVE, STE 2B, SUPERIOR, WI 54880-3757
(715) 392-3133
(715) 392-3190
Mailing address
1416 CUMMING AVE, STE 2B, SUPERIOR, WI 54880-3757
(715) 392-3133
(715) 392-3190
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
172
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41531900
—
WI
Enumeration date
05/31/2005
Last updated
04/23/2010
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