Provider Demographics
NPI:1215685870
Name:RACINE COUNTY
Entity type:Organization
Organization Name:RACINE COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEALTH OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:LANGLIEB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:262-898-4475
Mailing Address - Street 1:10005 NORTHWESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:FRANKSVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:53126-9573
Mailing Address - Country:US
Mailing Address - Phone:262-898-4460
Mailing Address - Fax:
Practice Address - Street 1:10005 NORTHWESTERN AVE
Practice Address - Street 2:
Practice Address - City:FRANKSVILLE
Practice Address - State:WI
Practice Address - Zip Code:53126-9573
Practice Address - Country:US
Practice Address - Phone:262-898-4460
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RACINE COUNTY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-03-14
Last Update Date:2022-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management