Organization
SULLIVAN-PRESTIGE AMBULANCE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY KAY HEINE (PRESIDENT)
(920) 220-1019
Entity
Organization
Contact information
Practice address
N5214 N HELENVILLE RD, HELENVILLE, WI 53137-9704
(920) 220-1019
Mailing address
N5214 N HELENVILLE RD, HELENVILLE, WI 53137-9704
(920) 220-1019
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
APPLIED FOR
WI
Other
Enumeration date
07/01/2012
Last updated
07/01/2012
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