Organization
DR-BR SUPPORTIVE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAWYANA DUNCAN NURSE (MANAGER)
(414) 554-0518
Entity
Organization
Contact information
Practice address
4203 N 14TH ST, MILWAUKEE, WI 53209-6940
(414) 665-0518
Mailing address
4203 N 14TH ST, MILWAUKEE, WI 53209-6940
(414) 665-0518
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/12/2012
Last updated
12/12/2012
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