Healthcare Provider Details

I. General information

NPI: 1699417543
Provider Name (Legal Business Name): RMG CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2022
Last Update Date: 04/11/2022
Certification Date: 04/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2730 W LISBON AVE
MILWAUKEE WI
53208-2059
US

IV. Provider business mailing address

2730 W LISBON AVE
MILWAUKEE WI
53208-2059
US

V. Phone/Fax

Practice location:
  • Phone: 414-366-3820
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: SAKAJHA SMILEY
Title or Position: OWNER
Credential:
Phone: 414-366-3820