Organization
FACE DOWN RECOVERY EQUIPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER ANN MCCARTHY (PRESIDENT)
(414) 409-7165
Entity
Organization
Contact information
Practice address
3834 N 80TH ST, MILWAUKEE, WI 53222-2922
(414) 409-7165
Mailing address
3834 N 80TH ST, MILWAUKEE, WI 53222-2922
(414) 409-7165
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/29/2015
Last updated
06/29/2015
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