Provider Demographics
NPI:1760863799
Name:INTEGRATED CARE AND CLEANING SERVICES
Entity Type:Organization
Organization Name:INTEGRATED CARE AND CLEANING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:KIRCHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:920-574-2272
Mailing Address - Street 1:2999 W SPENCER ST
Mailing Address - Street 2:STE 2060
Mailing Address - City:APPLETON
Mailing Address - State:WI
Mailing Address - Zip Code:54914-4352
Mailing Address - Country:US
Mailing Address - Phone:920-574-2272
Mailing Address - Fax:920-574-3659
Practice Address - Street 1:2999 W SPENCER ST
Practice Address - Street 2:STE 2060
Practice Address - City:APPLETON
Practice Address - State:WI
Practice Address - Zip Code:54914-4352
Practice Address - Country:US
Practice Address - Phone:920-574-2272
Practice Address - Fax:920-574-3659
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-16
Last Update Date:2015-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health