Healthcare Provider Details

I. General information

NPI: 1194797910
Provider Name (Legal Business Name): UNITY LIMITED PARTNERSHIP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2006
Last Update Date: 09/07/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2366 OAK RIDGE CIR
DE PERE WI
54115-9207
US

IV. Provider business mailing address

2366 OAK RIDGE CIR
DE PERE WI
54115-9207
US

V. Phone/Fax

Practice location:
  • Phone: 920-338-1111
  • Fax: 920-339-6795
Mailing address:
  • Phone: 920-338-1111
  • Fax: 920-339-6795

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number1503
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code315D00000X
TaxonomyInpatient Hospice
License Number1503
License Number StateWI

VIII. Authorized Official

Name: ALISA A GERKE
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 920-338-1111