Organization
NORHTEASR WISCONSIN PERSONAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SENG YANG OWNER (OWNER)
(920) 819-7831
Entity
Organization
Contact information
Practice address
1600 SHAWANO AVE APT 102, GREEN BAY, WI 54303-3246
(920) 819-7831
Mailing address
1600 SHAWANO AVE APT 102, GREEN BAY, WI 54303-3246
(920) 819-7831
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/20/2013
Last updated
05/20/2013
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