| Aspen Guardian Services, Inc. | |
|
107 Maple St E Amery WI 54001-1122 | |
| (715) 497-2433 | |
| (715) 268-2433 |
| Full Name | Aspen Guardian Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 107 Maple St E, Amery, Wisconsin |
| Authorized Official Name and Position | Allison Benson (CORPORATE GUARDIAN) |
| Authorized Official Contact | 7154972433 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspen Guardian Services, Inc. Po Box 15 Amery WI 54001-0015 Ph: () - | Aspen Guardian Services, Inc. 107 Maple St E Amery WI 54001-1122 Ph: (715) 497-2433 |
| NPI Number | 1649778473 |
|---|---|
| Provider Enumeration Date | 01/26/2018 |
| Last Update Date | 07/21/2021 |
| Certification Date | 07/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649778473 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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