Organization
HORIZON HEALTHCARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARREN MATAVKA (EXECUTIVE VICE PRESIDENT)
(414) 376-5577
Entity
Organization
Contact information
Practice address
2108 63RD ST, KENOSHA, WI 53143-4454
(414) 376-5577
Mailing address
4650 S HOWELL AVE, MILWAUKEE, WI 53207-5906
(414) 301-6381
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
06/11/2014
Last updated
06/11/2014
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