Organization
SUNRISE SUPPLY LLC
Active
Parent organization
SUNRISE SUPPLY LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUNRISE SUPPLY LLC
Authorized official
MR. PAUL D HUMES PAUL D. HUMES (OWNER/CEO)
(414) 380-4476
Entity
Organization
Contact information
Practice address
5308 W. GREENFIELD AVE, WEST MILWAUKEE, WI 53214
(414) 384-8554
(414) 264-8119
Mailing address
5308 W. GREENFIELD AVE, WEST MILWAUKEE, WI 53214
(414) 384-8554
(414) 264-8119
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
WI
Other
Enumeration date
11/17/2010
Last updated
11/17/2010
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