Provider Demographics
NPI:1013635994
Name:PHILLIPS CARE COMPANY, INC.
Entity Type:Organization
Organization Name:PHILLIPS CARE COMPANY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MADELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:PHILLIPS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-344-0224
Mailing Address - Street 1:N8836 STATE ROAD 58
Mailing Address - Street 2:
Mailing Address - City:NEW LISBON
Mailing Address - State:WI
Mailing Address - Zip Code:53950-9537
Mailing Address - Country:US
Mailing Address - Phone:608-344-0224
Mailing Address - Fax:
Practice Address - Street 1:N8836 STATE ROAD 58
Practice Address - Street 2:
Practice Address - City:NEW LISBON
Practice Address - State:WI
Practice Address - Zip Code:53950-9537
Practice Address - Country:US
Practice Address - Phone:608-344-0224
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-17
Last Update Date:2022-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness