Organization
WILSON WELLNESS GROUP
Active
Other names
Bella Home Medical and Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAWRENCE E BALKIN (PRESIDENT CEO)
(847) 217-1976
Entity
Organization
Contact information
Practice address
4625 SHERIDAN RD, KENOSHA, WI 53140-3323
(262) 657-3333
(262) 657-6201
Mailing address
4625 SHERIDAN RD, KENOSHA, WI 53140-3323
(262) 657-3333
(262) 657-6201
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
5539340001
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
417553300
—
WI
Enumeration date
06/03/2006
Last updated
06/23/2008
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