Provider Demographics
NPI:1154564482
Name:HANDISHOP INDUSTRIES, INC.
Entity type:Organization
Organization Name:HANDISHOP INDUSTRIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PATTY
Authorized Official - Middle Name:
Authorized Official - Last Name:CLARK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-372-3289
Mailing Address - Street 1:1411 N SUPERIOR AVE
Mailing Address - Street 2:
Mailing Address - City:TOMAH
Mailing Address - State:WI
Mailing Address - Zip Code:54660-1131
Mailing Address - Country:US
Mailing Address - Phone:608-372-3289
Mailing Address - Fax:608-372-0770
Practice Address - Street 1:1411 N SUPERIOR AVE
Practice Address - Street 2:
Practice Address - City:TOMAH
Practice Address - State:WI
Practice Address - Zip Code:54660-1131
Practice Address - Country:US
Practice Address - Phone:608-372-3289
Practice Address - Fax:608-372-0770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-16
Last Update Date:2009-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No347B00000XTransportation ServicesBus