Family Care Fiscal Agent

NPI 1730364571 - Supports Brokerage - 251X00000X

NPI Details
NPI 1730364571
Enumeration Date 12/28/2007
Last Updated 12/28/2007
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name SALLY SALLY
Position ADMINISTRATOR
Phone (414) 257-4385
Fax (414) 475-5215
Practice Location
7425 HARWOOD AVE
WAUWATOSA WI, 53213-2626, US
Phone (414) 257-4385
Fax (414) 475-5215
Business Location
7425 HARWOOD AVE
WAUWATOSA WI, 53213-2626, US
Phone (414) 257-4385
Fax (414) 475-5215
Toxanomy
Taxonomy Code 251X00000X
License State
License Number
Remove 1730364571 NPI Number
 

According to our database, Family Care Fiscal Agent NPI is 1730364571, taxonomy code is 251X00000X Family Care Fiscal Agent physically located at 7425 Harwood Ave, Wauwatosa WI, 53213-2626. NPI Number 1033115704 has the healthcare provider type.

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1730364571 NPI number is provided on an as is basis without warranty of any kind. 1730364571 is maintained by the National Plan & Provider Enumeration System. The contents of Family Care Fiscal Agent are for informational purposes only.