MEDICARE: ROSALYN M GARWOOD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency	11384930	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1790026649
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROSALYN M GARWOOD

Provider Business Mailing Address
First Line	:	7325 W MARINE DR
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53223-2013
Country	:	US
Telephone Number	:	414-610-9565
Fax Number	:

Provider Business Practice Location Address
First Line	:	7325 W MARINE DR
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53223-2013
Country	:	US
Telephone Number	:	414-610-9565
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. ROSALYN MEDRICK GARWOOD
Credential	:	RN
Telephone Number	:	414-610-9565

Provider Enumeration Date	:	03/01/2013
Last Update Date	:	03/05/2013

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