Organization
CARE FOR ALL AGES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL CHVALA (ADMINISTRATOR)
(920) 432-8119
Entity
Organization
Contact information
Practice address
1308 S NORWOOD AVE, GREEN BAY, WI 54304-1001
(920) 432-8119
(920) 432-0060
Mailing address
1308 S NORWOOD AVE, GREEN BAY, WI 54304-1001
(920) 432-8119
(920) 432-0060
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
0015405
WI
Other
Enumeration date
06/08/2015
Last updated
06/08/2015
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