Provider Demographics
NPI:1245403310
Name:SOCIETY'S ASSETS,INC.
Entity Type:Organization
Organization Name:SOCIETY'S ASSETS,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF INDEPENDENT LIVING
Authorized Official - Prefix:MS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:OLUF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:262-637-9128
Mailing Address - Street 1:5200 WASHINGTON AVE
Mailing Address - Street 2:SUITE 225
Mailing Address - City:RACINE
Mailing Address - State:WI
Mailing Address - Zip Code:53406-4238
Mailing Address - Country:US
Mailing Address - Phone:262-637-9128
Mailing Address - Fax:
Practice Address - Street 1:5200 WASHINGTON AVE
Practice Address - Street 2:SUITE 225
Practice Address - City:RACINE
Practice Address - State:WI
Practice Address - Zip Code:53406
Practice Address - Country:US
Practice Address - Phone:262-637-9128
Practice Address - Fax:262-635-7576
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-09
Last Update Date:2008-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI43089900Medicaid