Healthcare Provider Details

I. General information

NPI: 1255467403
Provider Name (Legal Business Name): NEW HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2020 W WELLS ST
MILWAUKEE WI
53233-2720
US

IV. Provider business mailing address

2020 W WELLS ST
MILWAUKEE WI
53233-2720
US

V. Phone/Fax

Practice location:
  • Phone: 414-937-2020
  • Fax:
Mailing address:
  • Phone: 414-937-2020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0401X
TaxonomyComprehensive Outpatient Rehabilitation Facility (CORF)
License Number
License Number State

VIII. Authorized Official

Name: MRS. MELINDA VERNON
Title or Position: ASSISTANT EXECUTIVE DIRECTOR
Credential:
Phone: 414-937-2020