Organization
SUNRISE SUPPLY LLC
Active
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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