Organization
WISCONSIN COMMUNITY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATASHA BANKS (OWNER/OPERATOR)
(920) 268-8586
Entity
Organization
Contact information
Practice address
802 N DREW ST, APPLETON, WI 54911-4925
(920) 202-3211
Mailing address
802 N DREW ST, APPLETON, WI 54911-4925
(920) 202-3211
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/03/2023
Last updated
11/03/2023
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