Individual Care Services LLC
NPI #1841672755 in Beaver Dam, Wisconsin
Provider Information
- NPI Number
- 1841672755
- Entity Type
- Organization
- Organization Name
- Individual Care Services LLC
- Primary Specialty
- In Home Supportive Care
- Enumeration Date
- Jun 26, 2015
- Last Updated
- Jun 26, 2015
Practice Location
- Address
- 133 HASKELL ST
- City
- Beaver Dam
- State
- Wisconsin
- ZIP Code
- 53916-1609
- Phone
- (920) 296-6556
Authorized Official
- Name
- MR. ROY MILBURN PROFITT IV
- Title
- MEMBER
- Phone
- (920) 296-6556
Specialties & Taxonomy Codes
| Specialty |
|---|
| In Home Supportive Care |
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