Organization
INDIANHEAD COMMUNITY ACTION AGENCY INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANTOINETTE MARIE MCCUTCHEON DESIGNATED OFFICIAL (DIRECTOR OF COMMUNITY SERVICES)
(715) 532-1545
Entity
Organization
Contact information
Practice address
1000 COLLEGE AVE W, LADYSMITH, WI 54848-2118
(715) 532-4222
(715) 532-7808
Mailing address
PO BOX 40, LADYSMITH, WI 54848-0040
(715) 532-4222
(715) 532-7808
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306930698
—
WI
Enumeration date
09/06/2018
Last updated
09/06/2018
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