| Organization Name: | EMPOWERMENT LIVING SERVICES |
| NPI Number: | 1023393204 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KRISTIN D. BURGESS (MANAGING PARTNER) |
| Mailing Address: | 165 Plummer Ct Neenah |
| State: | WI US |
| Postal Code: | 549562367 |
| Phone Number: | 9208515594 |
| Fax Number: | 9205584962 |
| NPI Enumeration Date: | 10/19/2011 |
| NPI Last Update Date: | 10/19/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |