Organization
XTREME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS CAYWOOD (MANAGER)
(920) 960-2138
Entity
Organization
Contact information
Practice address
W1662 NORTH ST, GREEN LAKE, WI 54941-9029
(920) 960-2138
Mailing address
241 E FOLLETT ST, FOND DU LAC, WI 54935-3542
(920) 960-2138
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
6600147
WI
Other
Enumeration date
07/24/2008
Last updated
07/24/2008
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