NPI 1205217221

Greater Wi Agency on Aging Resources

Organisation Case Management Agency Madison, WI

Practice location

Address: 1414 Macarthur Rd Suite a, Madison, WI 53714-1318
Phone: (608) 243-5674
Fax: (866) 782-6158

Authorised official

Name: Debra Mould
Title: Cfo/Fiscal Manager
Phone: (608) 243-5674

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X

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Registry record

NPI: 1205217221
Entity type: Organization
NPI issued: 16 Jun 2015
Record last updated: 16 Jun 2015

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.