# ACCESS MOBILITY VANS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164059150
- **Authorized official:** JON TEVZ (OWNER)
- **Authorized official phone:** (414) 758-2900

## Contact information

- **Practice address:** 1995 E. NORSE AVE., CUDAHY, WI 53110
- **Practice address phone:** (414) 264-2000
- **Practice address fax:** (414) 727-6945
- **Mailing address:** 1995 E. NORSE AVE., CUDAHY, WI 53110
- **Mailing address phone:** (414) 264-2000
- **Mailing address fax:** (414) 727-6945

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171WV0202X | Vehicle Modifications Contractor | — | NULL | Yes |
| 171WV0202X | Vehicle Modifications Contractor | — | — | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 332BC3200X | Customized Equipment (DME) | — | NULL | — |

## Other

- **Enumeration date:** 03/27/2020
- **Last updated:** 03/27/2020
