Suasponte Center, Llc | |
N8311 County Rd N Neshkoro WI 54960-8807 | |
(920) 229-7274 | |
(920) 239-6021 |
Full Name | Suasponte Center, Llc |
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Speciality | Community/behavioral Health |
Location | N8311 County Rd N, Neshkoro, Wisconsin |
Authorized Official Name and Position | Linda Richards (OWNER) |
Authorized Official Contact | 9202297274 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Suasponte Center, Llc N8311 County Rd N Neshkoro WI 54960-8807 Ph: (920) 229-7274 | Suasponte Center, Llc N8311 County Rd N Neshkoro WI 54960-8807 Ph: (920) 229-7274 |
NPI Number | 1699533968 |
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Provider Enumeration Date | 03/11/2024 |
Last Update Date | 03/11/2024 |
Certification Date | 03/11/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699533968 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |