Provider Demographics
NPI:1093140378
Name:A HELPING HAND OF CENTRAL WISCONSIN
Entity Type:Organization
Organization Name:A HELPING HAND OF CENTRAL WISCONSIN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GLENN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:DRAXLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:715-213-9580
Mailing Address - Street 1:11420 STADT RD
Mailing Address - Street 2:
Mailing Address - City:MARSHFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:54449-9092
Mailing Address - Country:US
Mailing Address - Phone:715-897-5911
Mailing Address - Fax:715-221-0269
Practice Address - Street 1:11420 STADT RD
Practice Address - Street 2:
Practice Address - City:MARSHFIELD
Practice Address - State:WI
Practice Address - Zip Code:54449-9092
Practice Address - Country:US
Practice Address - Phone:715-897-5911
Practice Address - Fax:715-221-0269
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-05
Last Update Date:2013-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care