Healthcare Provider Details

I. General information

NPI: 1356462550
Provider Name (Legal Business Name): ANNA'S HEALTHCARE,INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5449 COUNTY K
NEW FRANKEN WI
54229-9330
US

IV. Provider business mailing address

5449 CHAMPION RD.
NEW FRANKEN WI
54229-9330
US

V. Phone/Fax

Practice location:
  • Phone: 920-866-2903
  • Fax: 920-866-2972
Mailing address:
  • Phone: 920-866-2903
  • Fax: 920-866-2972

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number StateWI

VIII. Authorized Official

Name: MRS. TAMA ANN BEGLEY
Title or Position: PRESIDENT
Credential:
Phone: 920-866-2903