Search › Wisconsin › 374U00000X
Vang Thao, ADMINISTRATOR
NPI 1770996100 · on the registry since 2014
Practice
- Address
- 1402 Greenway Cross
Suite 101
Madison, WI 53713 - Phone
- (608) 251-2273
- Fax
- (866) 748-3232
- Organisation at this address
- Eternity Homecare, Inc.
Community Work Services, Inc.Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-06-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin