Organization
AM HOME MEDICAL, INC
Active
Other names
BELLA HOME MEDICAL & REHAB
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHELLY A MICO (BILLER)
(262) 657-3333
Entity
Organization
Contact information
Practice address
4625 SHERIDAN RD, KENOSHA, WI 53140-3323
(262) 657-3333
(262) 657-6201
Mailing address
4625 SHERIDAN RD, KENOSHA, WI 53140-3323
(262) 657-3333
(262) 657-6201
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0004000228145701
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41748000
—
WI
Enumeration date
06/09/2005
Last updated
08/22/2020
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