Provider Demographics
NPI:1386288504
Name:SISTERHOOD SERVICES LLC
Entity type:Organization
Organization Name:SISTERHOOD SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:J
Authorized Official - Last Name:JANKOSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:920-287-6647
Mailing Address - Street 1:841 RIVERFRONT DR
Mailing Address - Street 2:
Mailing Address - City:SHEBOYGAN
Mailing Address - State:WI
Mailing Address - Zip Code:53081-4656
Mailing Address - Country:US
Mailing Address - Phone:920-395-8495
Mailing Address - Fax:
Practice Address - Street 1:841 RIVERFRONT DR
Practice Address - Street 2:
Practice Address - City:SHEBOYGAN
Practice Address - State:WI
Practice Address - Zip Code:53081-4656
Practice Address - Country:US
Practice Address - Phone:920-395-8495
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-30
Last Update Date:2022-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty