Organization Name: | DIRECT MEDICAL ACCESS SERVICES |
NPI Number: | 1174931836 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KAREN ANN KLIPP (OWNER ADMINISTRATOR) |
Mailing Address: | 638 W Main St Suite A Lake Geneva |
State: | WI US |
Postal Code: | 531471908 |
Phone Number: | 2622159085 |
Fax Number: | 2622483801 |
NPI Enumeration Date: | 07/25/2014 |
NPI Last Update Date: | 07/25/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | 100032541 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |