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Organization

AMERICANWAY OF MADISON LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JANIS DEETS NOWAK (PRESIDENT)
(608) 566-1500
Entity
Organization

Contact information

Practice address
734 MESTA LN, MADISON, WI 53704-7843
(608) 246-0409
(608) 246-9020
Mailing address
602 E ALBERT ST, SUITE 3, PORTAGE, WI 53901-1463
(608) 566-1500
(608) 566-1501

Taxonomy

Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
0012791
WI

Other

Enumeration date
05/19/2010
Last updated
05/19/2010
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