| NPI | 1467889006 |
|---|---|
| Doing Business As | PREVEA HEALTH-SHAWANO AVENUE DME SUPPLIER |
| Entity Type | Organization |
| Authorized Contact | PATRICIA ALLEN CFO 920-496-4700 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2013-09-27 |
| Last Update Date | 2022-01-12 |