NPI 1003097809

Rusk County

Organisation Case Management Agency Ladysmith, WI

Practice location

Address: 311 Miner Ave E STE C240, Ladysmith, WI 54848-2826
Phone: (715) 532-2299
Fax: (715) 532-2126

Authorised official

Name: Gary Rivers
Title: Director
Phone: (715) 532-2299

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X

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Registry record

NPI: 1003097809
Entity type: Organization
NPI issued: 20 Nov 2007
Record last updated: 17 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.