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NPI Code Detail

MEDICARE: HUDDLE UP CARE INC

MEDICARE: HUDDLE UP CARE INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
2106H00000XMarriage & Family Therapist
3103K00000XBehavior Analyst
41041C0700XClinical Social Worker
5208600000XSurgery Physician
6225X00000XOccupational Therapist
7261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
8235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1538520614
Entity Type Code : Organization
Provider Name (Legal Business Name) : HUDDLE UP CARE INC
Provider Business Mailing Address
First Line : P.O. BOX 208
Second Line :
City : MADISON
State : WI
Zip : 53701
Country : US
Telephone Number : 844-536-8266
Fax Number : 844-536-8266
Provider Business Practice Location Address
First Line : 811 E WASHINGTON AVE STE 400
Second Line :
City : MADISON
State : WI
Zip : 53703-4028
Country : US
Telephone Number : 844-536-8266
Fax Number : 608-492-0770
Authorized Official
Title or Position : CEO
Name : OMAR DAWOOD
Credential :
Telephone Number : 844-536-8266
Provider Enumeration Date : 03/16/2016
Last Update Date : 08/14/2024

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