Organization
PHASE II ENTERPRISES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH FOLARIN ALAKA SR. BBA (OWNER)
(414) 933-3900
Entity
Organization
Contact information
Practice address
3739 W VLIET ST, MILWAUKEE, WI 53208-2847
(414) 933-3900
Mailing address
3739 W VLIET ST, MILWAUKEE, WI 53208-2847
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
41423700
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41423700
—
WI
Enumeration date
02/14/2008
Last updated
02/14/2008
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