Organization Name: | CUMARE LLC |
NPI Number: | 1508129933 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANDREW EYERS (OWNER) |
Mailing Address: | 5594 N Hollywood Ave Ste 210 Whitefish Bay |
State: | WI US |
Postal Code: | 532175208 |
Phone Number: | 4149440280 |
Fax Number: | 4149440281 |
NPI Enumeration Date: | 06/20/2012 |
NPI Last Update Date: | 07/18/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251F00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Home Infusion |
Taxonomy Specialization: | |
Taxonomy Definition: |