North Country Independent Living

NPI 1053540856 - In Home Supportive Care - 253Z00000X

NPI Details
NPI 1053540856
Enumeration Date 07/14/2009
Last Updated 07/14/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name JOHN JOHN
Position DIRECTOR
Phone (715) 392-9118
Fax (715) 392-4636
Practice Location
2231 CATLIN AVE
SUPERIOR WI, 54880-5137, US
Phone (715) 392-9118
Fax (715) 392-4636
Business Location
2231 CATLIN AVE
SUPERIOR WI, 54880-5137, US
Phone (715) 392-9118
Fax (715) 392-4636
Toxanomy
Taxonomy Code 253Z00000X
License State
License Number
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According to our database, North Country Independent Living NPI is 1053540856, taxonomy code is 253Z00000X North Country Independent Living physically located at 2231 Catlin Ave, Superior WI, 54880-5137. NPI Number 1033115704 has the healthcare provider type.

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1053540856 NPI number is provided on an as is basis without warranty of any kind. 1053540856 is maintained by the National Plan & Provider Enumeration System. The contents of North Country Independent Living are for informational purposes only.