Individual
MS. JENNIFER A KRACAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 S 16TH ST, MANITOWOC, WI 54220-6123
(920) 242-1382
Mailing address
1601 S 16TH ST, MANITOWOC, WI 54220-6123
(920) 242-1382
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
372500000X
Chore Provider
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
05/24/2024
Last updated
05/24/2024
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