Organization
SNF RESPIRATORY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL L HAILE (OWNER/RESPIRATORY CARE PRACTICIONER)
(920) 323-7055
Entity
Organization
Contact information
Practice address
W2803 IVY LN, PORTERFIELD, WI 54159-9602
(920) 323-7055
Mailing address
W2803 IVY LN, PORTERFIELD, WI 54159-9602
(920) 323-7055
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
532-028
WI
332B00000X
Durable Medical Equipment & Medical Supplies
532028
WI
Other
Enumeration date
05/03/2010
Last updated
07/26/2010
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