Organization
LIQUID GIGS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFERSON STANLEY (PRESIDENT)
(608) 982-0304
Entity
Organization
Contact information
Practice address
8383 GREENWAY BLVD STE 600, MIDDLETON, WI 53562-4659
(608) 982-0304
Mailing address
8383 GREENWAY BLVD STE 600, MIDDLETON, WI 53562-4659
(608) 982-0304
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
12/09/2020
Last updated
12/09/2020
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