Healthcare Provider Details

I. General information

NPI: 1891262788
Provider Name (Legal Business Name): EMPLOYMENT OPTIONS OF NORTH CENTRAL WI INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/29/2018
Last Update Date: 01/16/2020
Certification Date: 01/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

109 N STEVENS ST
RHINELANDER WI
54501-3159
US

IV. Provider business mailing address

109 N STEVENS ST
RHINELANDER WI
54501-3159
US

V. Phone/Fax

Practice location:
  • Phone: 715-365-5627
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State

VIII. Authorized Official

Name: NORMA JOHNSON
Title or Position: CEO
Credential:
Phone: 715-365-5627