Healthcare Provider Details

I. General information

NPI: 1467398636
Provider Name (Legal Business Name): AGRACE WESTERN WISCONSIN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 3RD ST N STE 202
LA CROSSE WI
54601-3288
US

IV. Provider business mailing address

5395 E CHERYL PKWY
FITCHBURG WI
53711-5395
US

V. Phone/Fax

Practice location:
  • Phone: 608-276-4660
  • Fax:
Mailing address:
  • Phone: 608-276-4660
  • Fax: 608-276-4660

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: LYNNE SEXTEN
Title or Position: CEO
Credential:
Phone: 608-276-4660