Organization
DIVERSE CARE LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY THESING RN (OWNER/ADMINISTRATOR)
(608) 304-5053
Entity
Organization
Contact information
Practice address
N5881 LAKEVIEW CT E, ONALASKA, WI 54650-9642
(608) 304-5053
(608) 519-5012
Mailing address
N5881 LAKEVIEW CT E, ONALASKA, WI 54650-9642
(608) 304-5053
(608) 519-5012
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
01/03/2014
Last updated
01/13/2014
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