Organization
ADVOCATES FOR INDEPENDENT LIVING II, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAY BIDWELL LOBERG (PRESIDENT)
(920) 746-2000
Entity
Organization
Contact information
Practice address
57 N 12TH AVE STE 103, STURGEON BAY, WI 54235-1395
(920) 746-2000
(920) 746-2004
Mailing address
57 N 12TH AVE STE 103, STURGEON BAY, WI 54235-1395
(920) 746-2000
(920) 746-2004
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100014956
—
WI
Enumeration date
05/11/2009
Last updated
11/17/2014
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