Provider Demographics
NPI:1962754119
Name:RUSK COUNTY SENIOR SERVICES
Entity type:Organization
Organization Name:RUSK COUNTY SENIOR SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RECEPTIONIST/SECRETARY
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:L
Authorized Official - Last Name:BATES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:715-532-2299
Mailing Address - Street 1:311 MINER AVE E
Mailing Address - Street 2:
Mailing Address - City:LADYSMITH
Mailing Address - State:WI
Mailing Address - Zip Code:54848-2862
Mailing Address - Country:US
Mailing Address - Phone:715-532-2299
Mailing Address - Fax:715-532-2280
Practice Address - Street 1:311 MINER AVE E
Practice Address - Street 2:
Practice Address - City:LADYSMITH
Practice Address - State:WI
Practice Address - Zip Code:54848-2862
Practice Address - Country:US
Practice Address - Phone:715-532-2299
Practice Address - Fax:715-532-2280
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-12
Last Update Date:2012-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty