Organization
FULFILLING A NEED,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RUTH D DYSON (OWNER)
(262) 605-1005
Entity
Organization
Contact information
Practice address
1427 69TH ST, KENOSHA, WI 53143-5346
(262) 605-1005
(262) 605-8969
Mailing address
1427 69TH ST, KENOSHA, WI 53143-5346
(262) 605-1005
(262) 605-8969
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
D2507646554703
WI
Other
Enumeration date
11/26/2008
Last updated
11/26/2008
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