Organization
QUINTESSENTIAL HEARTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QUINNETTE BOGAN (OWENER)
(414) 350-8845
Entity
Organization
Contact information
Practice address
2812 N 5TH ST, #102, MILWAUKEE, WI 53216
(414) 350-8845
Mailing address
4249 N 38TH ST, MILWAUKEE, WI 53216-1725
(414) 350-8845
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
09/08/2023
Last updated
09/08/2023
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