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NPI Code Detail

MEDICARE: ADULT CARE CONSULTANTS INC

MEDICARE: ADULT CARE CONSULTANTS 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
1251B00000XCase Management Agency
2253Z00000XIn Home Supportive Care Agency
3251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1750619417
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADULT CARE CONSULTANTS INC
Provider Business Mailing Address
First Line : 4321 W COLLEGE AVE STE 380
Second Line :
City : APPLETON
State : WI
Zip : 54914-3968
Country : US
Telephone Number : 920-886-3191
Fax Number : 920-215-6365
Provider Business Practice Location Address
First Line : 4321 W COLLEGE AVE STE 380
Second Line :
City : APPLETON
State : WI
Zip : 54914-3968
Country : US
Telephone Number : 920-886-3191
Fax Number : 920-215-6365
Authorized Official
Title or Position : OWNER/PRESIDENT
Name : TAMARA JAANA WALKER
Credential :
Telephone Number : 920-886-3191
Provider Enumeration Date : 11/18/2009
Last Update Date : 07/29/2024

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Directions to “ADULT CARE CONSULTANTS INC ” Practice Location

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