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Greater Wi Agency On Aging Resources

Case Management in Madison, WI. Organization (NPI-2).

NPI number1205217221
StatusActive
Last updated in NPPESJun 16, 2015

Details

NPI
1205217221
Entity type
Organization (NPI-2)
Legal business name
Greater Wi Agency On Aging Resources
Organization subpart
No
Enumeration date
Jun 16, 2015
Last updated
Jun 16, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251B00000X Case Management––Yes

Practice location

1414 Macarthur Rd
Suite A
Madison, WI 53714-1318

Phone 608-243-5674 · Fax 866-782-6158

Mailing address

1414 Macarthur Rd
Suite A
Madison, WI 53714-1318

Phone 608-243-5674 · Fax 866-782-6158

Authorized official

Debra Mould
Cfo/Fiscal Manager
6082435674

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