NPI 1003368226
Cooperative Care
Practice location
- Address
- 402 East Main Street, Wautoma, WI 54982
- Phone
- (920) 787-1886
- Fax
- (920) 787-1888
- Mailing address
- PO Box 620, Wautoma, WI 54982
Authorised official
- Name
- April Stevens
- Title
- Program Manager
- Phone
- (920) 787-1886
Registered specialties
In Home Supportive Care Agency
Primary
Registry record
- NPI
- 1003368226
- Entity type
- Organization
- NPI issued
- 4 Nov 2016
- Record last updated
- 4 Nov 2016
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.