Healthcare Provider Details
I. General information
NPI: 1518259183
Provider Name (Legal Business Name): THE MURPHY GROUP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/13/2011
Last Update Date: 05/13/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7221 W SHERIDAN AVE
MILWAUKEE WI
53218-2804
US
IV. Provider business mailing address
PO BOX 342902
MILWAUKEE WI
53234-2902
US
V. Phone/Fax
- Phone: 414-793-2596
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 311ZA0620X |
| Taxonomy | Adult Care Home Facility |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 343900000X |
| Taxonomy | Non-emergency Medical Transport (VAN) |
| License Number | 0022133 |
| License Number State | WI |
VIII. Authorized Official
Name:
DEBRA
MURPHY
Title or Position: OWNER
Credential: RN
Phone: 414-793-2596