# MMS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mobile Medical Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316785140
- **Authorized official:** DANIEL J RUSSELL NP (OWNER)
- **Authorized official phone:** (262) 939-4744

## Contact information

- **Practice address:** 6114 7TH AVE, KENOSHA, WI 53143-4538
- **Practice address phone:** (262) 939-4744
- **Mailing address:** 6114 7TH AVE, KENOSHA, WI 53143-4538
- **Mailing address phone:** (262) 939-4744

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 07/16/2024
- **Last updated:** 07/16/2024