Organization
METRO CARE HOME MEDICAL CENTER, INC.
Active
Organization
METRO CARE HOME MEDICAL CENTER, INC.
Active
Other names
Metrocare Home Medical Equipment, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIM L POTEET (PRESIDENT)
(262) 250-0820
Entity
Organization
Contact information
Practice address
9225 N 76TH ST, MILWAUKEE, WI 53223-1058
(262) 250-0820
(262) 250-0825
Mailing address
9225 N 76TH ST, MILWAUKEE, WI 53223-1058
(262) 250-0820
(262) 250-0825
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
004000019571401
WI
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
0040000019571401
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41682400
—
WI
Enumeration date
03/15/2006
Last updated
09/11/2009
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