NPI 1730364571

Family Care Fiscal Agent

Organisation Supports Brokerage Agency Wauwatosa, WI

Practice location

Address: 7425 Harwood Ave, Wauwatosa, WI 53213-2626
Phone: (414) 257-4385
Fax: (414) 475-5215

Authorised official

Name: Sally Sprenger
Title: Administrator
Phone: (414) 257-4340

Registered specialties

Supports Brokerage Agency Primary

Agencies Taxonomy 251X00000X

Other Supports Brokerage providers in Wisconsin →

Registry record

NPI: 1730364571
Entity type: Organization
NPI issued: 28 Dec 2007
Record last updated: 28 Dec 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.