| Organization Name: | BENEVOLENT CORPORATION CEDAR COMMUNITY |
| NPI Number: | 1154321602 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHRIS CHERNEY (CFO) |
| Mailing Address: | 5595 County Road Z West Bend |
| State: | WI US |
| Postal Code: | 530959224 |
| Phone Number: | 2623062140 |
| Fax Number: | 2623062141 |
| NPI Enumeration Date: | 07/27/2005 |
| NPI Last Update Date: | 03/02/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | 5115503 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WI |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |