MEDICARE: MOST PRIZE POSSESSION SERVICES INC

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	171M00000X	Case Manager/Care Coordinator
2	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1821504945
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOST PRIZE POSSESSION SERVICES INC

Provider Business Mailing Address
First Line	:	4319 N 76TH ST STE 2
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53222-2056
Country	:	US
Telephone Number	:	414-406-7039
Fax Number	:

Provider Business Practice Location Address
First Line	:	4319 N 76TH ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53222-2056
Country	:	US
Telephone Number	:	414-617-7692
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	BARBARA HOLT
Credential	:
Telephone Number	:	414-406-7039

Provider Enumeration Date	:	12/27/2017
Last Update Date	:	04/16/2018

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