Organization
HORIZON HEALTHCARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARREN MATAVKA (EXECUTIVE VICE PRESIDENT)
(414) 301-6381
Entity
Organization
Contact information
Practice address
1126 S 70TH ST, SUITE S507, WEST ALLIS, WI 53214-3151
(414) 306-7004
(414) 306-7004
Mailing address
4650 S HOWELL AVE, MILWAUKEE, WI 53207-5906
(414) 306-7004
(414) 306-7004
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
01/28/2014
Last updated
01/28/2014
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