Provider Demographics
NPI:1932071446
Name:JMAR OUTDOOR'S INC. DBA INTEGRICARE
Entity type:Organization
Organization Name:JMAR OUTDOOR'S INC. DBA INTEGRICARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMISTRATOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MARSHALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:715-475-8829
Mailing Address - Street 1:PO BOX 335
Mailing Address - Street 2:
Mailing Address - City:CAMERON
Mailing Address - State:WI
Mailing Address - Zip Code:54822-0335
Mailing Address - Country:US
Mailing Address - Phone:715-475-8829
Mailing Address - Fax:
Practice Address - Street 1:315 E SAINT PATRICK ST
Practice Address - Street 2:
Practice Address - City:RICE LAKE
Practice Address - State:WI
Practice Address - Zip Code:54868-2866
Practice Address - Country:US
Practice Address - Phone:715-475-8829
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JMAR OUTDOOR'S INC. DBA INTEGRICARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-09-23
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities