Supporting Provider Services

LBN: Supporting Provider Services
Supporting Provider Services is an health care organization with primary practice located at 8330 S Wynona Ct , Oak Creek WI 53154-2740. The organization recently has only one registered license in Respite Care Facility / Respite Care, Physical Disabilities, Child, which is considered as the primary health care specialty. Supporting Provider Services can be contacted via phone (262) 527-1282, or through Buford, Theresa via phone (262) 527-1282.

Contact Information

Primary practice address
8330 S Wynona Ct Oak Creek WI 53154-2740
Phone: (262) 527-1282
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Buford, Theresa
Phone: (262) 527-1282

Health care specialties

SpecialtyCodeLicense #State
Respite Care Facility / Respite Care, Physical Disabilities, Child 385HR2065X

Profile Details

NPI number 1114393527
LBN Legal business name Supporting Provider Services
DBA Doing business as
Authorized official Buford, Theresa
Entity Organization
Organization subpart 1 No
Enumeration date Aug 19th, 2015
Last updated Aug 19th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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