Organization · NPI-2

4 Lakes Health Services, INC

In Home Supportive Care · Madison, WI

NPI number1134788896

StatusActive

Last updated in NPPESJun 6, 2019

Details

NPI: 1134788896
Entity type: Organization (NPI-2)
Legal business name: 4 Lakes Health Services, INC
Organization subpart: No
Enumeration date: Jun 6, 2019
Last updated: Jun 6, 2019

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
253Z00000X	In Home Supportive Care	–	–	Yes
251E00000X	Home Health	–	–
385H00000X	Respite Care	–	–

Other names

Always Best Care Madison (Doing Business As)

Practice location

437 S Yellowstone Dr Ste 210
Madison, WI 53719-1061

Phone 608-315-2378

Mailing address

1730 28 3/4 Ave
Rice Lake, WI 54868-9329

Phone 715-296-7644

Authorized official

Erenst Agne
President, Co-Owner
7152977644

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