MEDICARE: MAJOR CARE PREGNANCY RESOURCES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1396006185
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAJOR CARE PREGNANCY RESOURCES

Provider Business Mailing Address
First Line	:	3840 W HELENA AVE
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53209-2339
Country	:	US
Telephone Number	:	414-852-6802
Fax Number	:

Provider Business Practice Location Address
First Line	:	3840 W HELENA AVE
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53209-2339
Country	:	US
Telephone Number	:	414-852-6802
Fax Number	:

Authorized Official
Title or Position	:	RN
Name	:	ERMA J MAJOR
Credential	:
Telephone Number	:	414-852-6802

Provider Enumeration Date	:	06/07/2012
Last Update Date	:	06/07/2012

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