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Organization

MIDWEST THERAPEUTIC EQUESTRIAN HEALTH CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHANIE KUBARTH OTR/L (DIRECTOR)
(262) 878-2000
Entity
Organization

Contact information

Practice address
1117 N BRITTON RD, UNION GROVE, WI 53182-9305
(262) 878-2000
(262) 878-2000
Mailing address
PO BOX 085184, RACINE, WI 53408-5184
(262) 878-2000
(262) 878-2000

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
41219700
WI
Enumeration date
05/01/2008
Last updated
05/01/2008
About Stedi
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Product
  • Claims
  • Eligibility checks
  • EDI platform