Family Care Fiscal Agent

NPI #1730364571 in Wauwatosa, Wisconsin

Provider Information

NPI Number
1730364571
Entity Type
Organization
Organization Name
Family Care Fiscal Agent
Subpart
Yes (part of a larger organization)
Parent Organization
ANEW HEALTH CARE SERVICES, INC
Primary Specialty
Supports Brokerage
Enumeration Date
Dec 28, 2007
Last Updated
Dec 28, 2007

Practice Location

Address
7425 HARWOOD AVE
ZIP Code
53213-2626
Phone
(414) 257-4385

Authorized Official

Name
MS. SALLY SPRENGER, R.D.
Title
ADMINISTRATOR
Phone
(414) 257-4340

Specialties & Taxonomy Codes

Specialty
Supports Brokerage

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