Healthcare Provider Details

I. General information

NPI: 1760289664
Provider Name (Legal Business Name): IN GOOD HANDS INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2025
Last Update Date: 02/27/2025
Certification Date: 02/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

653 E MONROE AVE
HARTFORD WI
53027-2510
US

IV. Provider business mailing address

653 E MONROE AVE
HARTFORD WI
53027-2510
US

V. Phone/Fax

Practice location:
  • Phone: 262-627-9218
  • Fax:
Mailing address:
  • Phone: 262-627-9218
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: IESHA MARIE FLOYD-BARKLEY
Title or Position: DIRECTOR
Credential:
Phone: 262-627-9218