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Organization

ACCESS MOBILITY VANS, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JON TEVZ (OWNER)
(414) 758-2900
Entity
Organization

Contact information

Practice address
1995 E. NORSE AVE., CUDAHY, WI 53110
(414) 264-2000
(414) 727-6945
Mailing address
1995 E. NORSE AVE., CUDAHY, WI 53110
(414) 264-2000
(414) 727-6945

Taxonomy

Speciality
Code
Description
License number
State
171WV0202X
Vehicle Modifications Contractor
Primary
332B00000X
Durable Medical Equipment & Medical Supplies
332BC3200X
Customized Equipment (DME)

Other

Enumeration date
03/27/2020
Last updated
03/27/2020
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