Provider Demographics
NPI:1083972954
Name:THE SHURDEN GROUP
Entity Type:Organization
Organization Name:THE SHURDEN GROUP
Other - Org Name:DBA COMFORT KEEPERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:AKENSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:715-301-6730
Mailing Address - Street 1:PO BOX 1016
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:WI
Mailing Address - Zip Code:54016
Mailing Address - Country:US
Mailing Address - Phone:715-381-6730
Mailing Address - Fax:715-381-6734
Practice Address - Street 1:2424 MONETARY BLVD. #012
Practice Address - Street 2:THE SHURDEN GROUP DBA COMFORT KEEPERS
Practice Address - City:HUDSON
Practice Address - State:WI
Practice Address - Zip Code:54016
Practice Address - Country:US
Practice Address - Phone:715-381-6730
Practice Address - Fax:715-381-6734
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-30
Last Update Date:2013-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care