Organization
ST CROIX COUNTY
Active
Other names
St. Croix County Birth to Three
Organization subpart
No
Provider details
NPI number
Authorized official
FAY STRENKE (ACCOUNTS RECEIVABLE SUPERVISOR)
(715) 246-8217
Entity
Organization
Contact information
Practice address
1752 DORSET LN, NEW RICHMOND, WI 54017-2452
(715) 246-6991
(715) 246-8413
Mailing address
1752 DORSET LN, NEW RICHMOND, WI 54017-2452
(715) 246-6991
(715) 246-8413
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41211600
—
WI
Enumeration date
04/02/2019
Last updated
11/06/2020
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