Alcocare Inc.

Organization Active NPI Substance Abuse Rehabilitation Facility · Janesville, WI

NPI 1831464536 · NPPES record last updated Mar 13, 2012

Key facts

NPI
1831464536
Entity type
Organization (NPI type 2)
Primary specialty
Substance Abuse Rehabilitation Facility 324500000X
License
1023 (WI)
Legal business name
ALCOCARE INC.
Practice address
786 S Main St
Janesville, WI 53545-4852
Phone
(608) 754-6800
Fax
(608) 754-2651
NPI assigned
Mar 13, 2012
Organization subpart
No

Authorized official

Name
Mr. Thomas Shane Bolan, CAPSW
Title
Director
Phone
(608) 751-1042

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Alcocare Inc (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 1023 WI Yes

Addresses

Primary practice location

786 S Main St
Janesville, WI 53545-4852

Mailing address

786 S Main St
Janesville, WI 53545-4852
Phone (608) 754-6800

Other providers in Janesville, WI

All providers in Janesville, WI · Substance Abuse Rehabilitation Facility in Wisconsin

Sources for this page

Verify at the official NPI Registry.