Provider Demographics
NPI:1649925694
Name:CLEAR YOUR CORNER, LLC
Entity type:Organization
Organization Name:CLEAR YOUR CORNER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MOLLY
Authorized Official - Middle Name:J
Authorized Official - Last Name:OGREN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-983-4898
Mailing Address - Street 1:PO BOX 193
Mailing Address - Street 2:
Mailing Address - City:MORRISONVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:53571-0193
Mailing Address - Country:US
Mailing Address - Phone:773-983-4898
Mailing Address - Fax:
Practice Address - Street 1:4711 COUNTY ROAD DM
Practice Address - Street 2:
Practice Address - City:MORRISONVILLE
Practice Address - State:WI
Practice Address - Zip Code:53571-9510
Practice Address - Country:US
Practice Address - Phone:773-983-4898
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-17
Last Update Date:2022-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372500000XNursing Service Related ProvidersChore ProviderGroup - Single Specialty