| NPI Details | |
|---|---|
| NPI | 1023267242 |
| Enumeration Date | 09/11/2008 |
| Last Updated | 06/06/2011 |
| Entity Type | Healthcare Provider |
| Active | Over 9 years ago |
| Authorized Information | |
|---|---|
| Name | JOHN JOHN |
| Position | CEO |
| Phone | (414) 906-0000 |
| Fax | (414) 543-8389 |
| Practice Location | |
|---|---|
| 6260 N PORT WASHINGTON RD SUITE A GLENDALE WI, 53217-4310, US |
|
| Phone | (414) 906-0000 |
| Fax | (414) 543-8389 |
| Business Location | |
|---|---|
| 1995 E NORSE AVE CUDAHY WI, 53110-2850, US |
|
| Phone | (414) 486-6249 |
| Fax | (414) 543-8389 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 332BX2000X |
| License State | |
| License Number | |
| Remove 1023267242 NPI Number | |
According to our database, Homestead Independence Inc. NPI is 1023267242, taxonomy code is 332BX2000X Homestead Independence Inc. physically located at 6260 N Port Washington Rd, Glendale WI, 53217-4310. NPI Number 1033115704 has the healthcare provider type.
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1023267242 NPI number is provided on an as is basis without warranty of any kind. 1023267242 is maintained by the National Plan & Provider Enumeration System. The contents of Homestead Independence Inc. are for informational purposes only.
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