Provider Demographics
NPI:1184873507
Name:KATHI PAPA INC
Entity type:Organization
Organization Name:KATHI PAPA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHI
Authorized Official - Middle Name:
Authorized Official - Last Name:PAPA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:414-333-3984
Mailing Address - Street 1:W347 S4850 WATERVILLE ROAD
Mailing Address - Street 2:
Mailing Address - City:DOUSMAN
Mailing Address - State:WISCONSIN
Mailing Address - Zip Code:53118
Mailing Address - Country:UM
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:W347S4850 WATERVILLE RD
Practice Address - Street 2:
Practice Address - City:DOUSMAN
Practice Address - State:WI
Practice Address - Zip Code:53118-9727
Practice Address - Country:US
Practice Address - Phone:414-333-3984
Practice Address - Fax:262-965-5090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-09
Last Update Date:2008-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health