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Organization

COUNTY OF SHAWANO

Active
Other names
SHAWANO COUNTY DEPT OF HUMAN SERVICES-LAKELAND CENTER PERSONAL CARE
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RICHARD KANE (DIRECTOR)
(715) 526-4700
Entity
Organization

Contact information

Practice address
504 LAKELAND ROAD, SHAWANO, WI 54166-3836
(715) 526-4700
(715) 526-5542
Mailing address
504 LAKELAND ROAD, SHAWANO, WI 54166-3836
(715) 526-4700
(715) 526-5542

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1831
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
43106300
WI
Enumeration date
07/11/2012
Last updated
01/23/2015
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