Organization Name: | VILLAGE OF HALES CORNERS |
NPI Number: | 1013112945 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEBRA J PERSAK (HEALTH OFFICER) |
Mailing Address: | 5885 S 116th St Hales Corners |
State: | WI US |
Postal Code: | 531301707 |
Phone Number: | 4145296155 |
Fax Number: | 4145296157 |
NPI Enumeration Date: | 06/20/2007 |
NPI Last Update Date: | 07/01/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |