Provider Demographics
NPI:1649402611
Name:CEK FAMILY COMPANION CARE
Entity Type:Organization
Organization Name:CEK FAMILY COMPANION CARE
Other - Org Name:EVA J. KORTNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:EVA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:KORTNESS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:715-719-0332
Mailing Address - Street 1:PO BOX 494
Mailing Address - Street 2:
Mailing Address - City:RICE LAKE
Mailing Address - State:WI
Mailing Address - Zip Code:54868-0494
Mailing Address - Country:US
Mailing Address - Phone:715-719-0332
Mailing Address - Fax:715-719-0332
Practice Address - Street 1:2136 20 1/8TH ST.
Practice Address - Street 2:#22
Practice Address - City:RICE LAKE
Practice Address - State:WI
Practice Address - Zip Code:54868-0494
Practice Address - Country:US
Practice Address - Phone:715-719-0332
Practice Address - Fax:715-719-0332
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-10
Last Update Date:2009-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care