Dove INC
Home Health in Superior, WI. Organization (NPI-2).
NPI number1790788099
StatusActive
Last updated in NPPESApr 23, 2010
Details
- NPI
- 1790788099
- Entity type
- Organization (NPI-2)
- Legal business name
- Dove INC
- Organization subpart
- No
- Enumeration date
- May 31, 2005
- Last updated
- Apr 23, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | 172 | WI | Yes |
Other names
- The Dove INC (Other Name)
Practice location
1416 Cumming AveSte 2b
Superior, WI 54880-3757
Phone 715-392-3133 · Fax 715-392-3190
Mailing address
1416 Cumming AveSte 2b
Superior, WI 54880-3757
Phone 715-392-3133 · Fax 715-392-3190
Authorized official
Greg Anselm Leiviska
Administrator
7153923133
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