THEDACARE, INCORPORATED; NPI #1881787380

Contact Information

THEDACARE, INCORPORATED

3000 E COLLEGE AVE
SUITE A
APPLETON, WI 54915

Phone: 920-969-0919
Fax: 920-730-3433
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Hospice Care, Community Based	251G00000X	B4[14]	Hospice

Indicates primary specialty

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NPI Profile & details for THEDACARE, INCORPORATED

NPI # 1881787380

LBN Legal business name THEDACARE, INCORPORATED

Authorized official WILLIAM FLETT - (CFO)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/02/2006

Last updated 01/02/2024 - About 2 years ago

Identifiers

WI	License #	1504
WI	Medicaid	43187600

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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THEDACARE, INCORPORATED

Contact Information

Specialty

Hospice Care, Community Based

NPI Profile & details for THEDACARE, INCORPORATED

Reviews for THEDACARE, INCORPORATED