Iconicare Fort Atkinson, Llc

LBN: Iconicare Fort Atkinson, Llc
Iconicare Fort Atkinson, Llc is an health care organization with primary practice located at 737 Reena Ave , Fort Atkinson WI 53538-3108. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Iconicare Fort Atkinson, Llc can be contacted via phone (920) 542-1521, or through Lies, Tricia via phone (952) 888-2923.

Contact Information

Primary practice address
737 Reena Ave Fort Atkinson WI 53538-3108
Phone: (920) 542-1521
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lies, Tricia
Phone: (952) 888-2923

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X

Profile Details

NPI number 1336790450
LBN Legal business name Iconicare Fort Atkinson, Llc
DBA Doing business as
Authorized official Lies, Tricia
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2019
Last updated Sep 20th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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