Provider Demographics
NPI:1760001390
Name:CARETRULY HEALTH CARE LLC
Entity type:Organization
Organization Name:CARETRULY HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:
Authorized Official - Last Name:FERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-213-6746
Mailing Address - Street 1:5147 W LAUREN CT
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:WI
Mailing Address - Zip Code:53132-7111
Mailing Address - Country:US
Mailing Address - Phone:608-213-6746
Mailing Address - Fax:414-325-0180
Practice Address - Street 1:3236 W LOOMIS RD
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:WI
Practice Address - Zip Code:53221-1141
Practice Address - Country:US
Practice Address - Phone:608-213-6746
Practice Address - Fax:414-325-0180
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-14
Last Update Date:2020-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care