Healthcare Provider Details

I. General information

NPI: 1083266977
Provider Name (Legal Business Name): D&T SERVICES DBA VISITING ANGELS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2019
Last Update Date: 07/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

N112W15568 MEQUON RD STE 5
GERMANTOWN WI
53022-3413
US

IV. Provider business mailing address

N112W15568 MEQUON RD STE 5
GERMANTOWN WI
53022-3413
US

V. Phone/Fax

Practice location:
  • Phone: 262-251-9911
  • Fax:
Mailing address:
  • Phone: 262-251-9911
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: DAVE MELDER
Title or Position: CO-OWNER
Credential:
Phone: 262-894-1911