4 Lakes Health Services, INC

NPI #1134788896 in Madison, Wisconsin

Provider Information

NPI Number: 1134788896
Entity Type: Organization
Organization Name: 4 Lakes Health Services, INC
Primary Specialty: In Home Supportive Care
Enumeration Date: Jun 6, 2019
Last Updated: Jun 6, 2019

Practice Location

Address: 437 S YELLOWSTONE DR STE 210
City: Madison
State: Wisconsin
ZIP Code: 53719-1061
Phone: (608) 315-2378

Authorized Official

Name: ERENST AGNE
Title: PRESIDENT, CO-OWNER
Phone: (715) 297-7644

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X
Respite Care	385H00000X
In Home Supportive Care	253Z00000X	Primary

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