Direct Medical Access Services

NPI 1174931836 - In Home Supportive Care - 253Z00000X

NPI Details
NPI 1174931836
Enumeration Date 07/25/2014
Last Updated 07/25/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name KAREN ANN KAREN
Position OWNER ADMINISTRATOR
Phone (262) 215-9085
Fax (262) 248-3801
Practice Location
638 W MAIN ST
SUITE A
LAKE GENEVA WI, 53147-1908, US
Phone (262) 215-9085
Fax (262) 248-3801
Business Location
638 W MAIN ST
SUITE A
LAKE GENEVA WI, 53147-1908, US
Phone (262) 215-9085
Fax (262) 248-3801
Toxanomy
Taxonomy Code 253Z00000X
License State Wisconsin
License Number 100032541
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According to our database, Direct Medical Access Services NPI is 1174931836, taxonomy code is 253Z00000X and license number is 100032541, license state is located at Wisconsin. Direct Medical Access Services physically located at 638 W Main St, Lake Geneva WI, 53147-1908. NPI Number 1033115704 has the healthcare provider type.

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1174931836 NPI number is provided on an as is basis without warranty of any kind. 1174931836 is maintained by the National Plan & Provider Enumeration System. The contents of Direct Medical Access Services are for informational purposes only.