Organization
BILL-RAY HOME MOBILITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH VOSTERS (PRESIDENT)
(920) 915-8433
Entity
Organization
Contact information
Practice address
3800 N PROVIDENCE AVE, SUITE A, APPLETON, WI 54913-8016
(920) 257-4001
(920) 257-4131
Mailing address
3800 N PROVIDENCE AVE, SUITE A, APPLETON, WI 54913-8016
(920) 257-4001
(920) 257-4131
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
600-1026805856-03
WI
Other
Enumeration date
08/02/2011
Last updated
08/02/2011
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