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Organization
DIGITRACE CARE SERVICES INC
Active
Organization
DIGITRACE CARE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA NAUFUL (VP COMPLIANCE & CONTRACTING)
(770) 309-2000
Entity
Organization
Contact information
Practice address
8825 S HOWELL AVE, SUITE 101, OAK CREEK, WI 53154
(414) 762-1675
Mailing address
200 CORPORATE PL, STE 5B, PEABODY, MA 01960-3840
(414) 762-1675
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21329200
—
WI
Enumeration date
02/21/2008
Last updated
08/22/2018
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