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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

COUNTRY GROVE HOME LLC

Active Organization

COUNTRY GROVE HOME LLC is a Rural Ambulance organization located in NECEDAH, Wisconsin. NPI 1306162706 is currently active in the NPPES registry. Verify at CMS.

Rural Ambulance · NECEDAH, WI

Registration Details

NPI Number
1306162706
Provider Type
Organization
NPI Issued
Apr 12, 2010 (16.362389767315 yrs)
Last Updated
Apr 12, 2010
License
0011011 (WI)

Practice Information

Address
N11151 17TH AVE
NECEDAH, WI, 546467619
Browse WI providers · Browse ZIP 54646
Phone
6085652735
Primary Specialty
Rural Ambulance
3104A0625X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.