| Jasper Wellness Group Llc | |
|
1311 N Danz Ave Green Bay WI 54302-3005 | |
| (920) 676-9697 | |
| Not Available |
| Full Name | Jasper Wellness Group Llc |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 1311 N Danz Ave, Green Bay, Wisconsin |
| Authorized Official Name and Position | Amanda L Suthers (CEO) |
| Authorized Official Contact | 9206769697 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jasper Wellness Group Llc 2055 S Tanager Ln Suamico WI 54313-4003 Ph: (920) 676-9697 | Jasper Wellness Group Llc 1311 N Danz Ave Green Bay WI 54302-3005 Ph: (920) 676-9697 |
| NPI Number | 1851155048 |
|---|---|
| Provider Enumeration Date | 02/08/2024 |
| Last Update Date | 03/01/2024 |
| Certification Date | 02/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851155048 | NPI | - | NPPES |
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