Healthcare Provider Details

I. General information

NPI: 1821504945
Provider Name (Legal Business Name): MOST PRIZE POSSESSION SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/27/2017
Last Update Date: 04/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4319 N 76TH ST
MILWAUKEE WI
53222-2056
US

IV. Provider business mailing address

4319 N 76TH ST STE 2
MILWAUKEE WI
53222-2056
US

V. Phone/Fax

Practice location:
  • Phone: 414-617-7692
  • Fax:
Mailing address:
  • Phone: 414-406-7039
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name: BARBARA HOLT
Title or Position: OWNER
Credential:
Phone: 414-406-7039