Provider Demographics
NPI:1104364033
Name:ALLAY PALLIATIVE CARE INC
Entity Type:Organization
Organization Name:ALLAY PALLIATIVE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:SAUER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:262-787-2980
Mailing Address - Street 1:325 N CORPORATE DR
Mailing Address - Street 2:SUITE 260
Mailing Address - City:BROOKFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53045-5801
Mailing Address - Country:US
Mailing Address - Phone:262-787-2980
Mailing Address - Fax:
Practice Address - Street 1:325 N CORPORATE DR
Practice Address - Street 2:SUITE 260
Practice Address - City:BROOKFIELD
Practice Address - State:WI
Practice Address - Zip Code:53045-5801
Practice Address - Country:US
Practice Address - Phone:262-787-2980
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-11
Last Update Date:2017-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative MedicineGroup - Single Specialty