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Organization
FRESH START MEDICAL SERVICES
Active
Organization
FRESH START MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATORI LEWIS (MEMBER OFFICE REP)
(414) 315-7227
Entity
Organization
Contact information
Practice address
10150 W NATIONAL AVE STE 202, WEST ALLIS, WI 53227-2145
(414) 315-7227
(414) 553-9119
Mailing address
PO BOX 5115, MILWAUKEE, WI 53205-0115
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
NULL
251C00000X
Developmentally Disabled Services Day Training Agency
—
NULL
251E00000X
Home Health Agency
Primary
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
Other
Enumeration date
06/03/2025
Last updated
06/03/2025
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