Organization
HART FAMILY INNOVATED CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARCUS CONTRELL HART (EXECUTIVE DIRECTOR)
(414) 219-9039
Entity
Organization
Contact information
Practice address
1109 N MAYFAIR RD, 202, MILWAUKEE, WI 53226-3430
(877) 692-0008
(414) 908-9403
Mailing address
PO BOX 340992, MILWAUKEE, WI 53234-0992
(877) 692-0008
(414) 908-9403
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
06/21/2011
Last updated
06/21/2011
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