NPI | 1447392915 |
---|---|
Doing Business As | AURORA HEALTH CENTER KENOSHA |
Entity Type | Organization |
Authorized Contact | JEFFREY W BALLIET Provider Activation Specialist 414-647-3047 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2007-02-13 |
Last Update Date | 2024-05-23 |