Willow Tree Support Services Llc

LBN: Willow Tree Support Services Llc
Willow Tree Support Services Llc is an health care organization with primary practice located at 2905 W 9Th Ave , Oshkosh WI 54904-6504. The organization recently has only one registered license in Agencies / In Home Supportive Care, which is considered as the primary health care specialty. Willow Tree Support Services Llc can be contacted via phone (920) 379-4388, or through Tetzlaff, Jacob via phone (920) 379-4388.

Contact Information

Primary practice address
2905 W 9Th Ave Oshkosh WI 54904-6504
Phone: (920) 379-4388
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tetzlaff, Jacob
Phone: (920) 379-4388

Health care specialties

SpecialtyCodeLicense #State
Agencies / In Home Supportive Care 253Z00000X Wisconsin

Profile Details

NPI number 1245580265
LBN Legal business name Willow Tree Support Services Llc
DBA Doing business as
Authorized official Tetzlaff, Jacob
Entity Organization
Organization subpart 1 No
Enumeration date Sep 17th, 2012
Last updated Sep 17th, 2012 - about 12 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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