Provider Demographics
NPI:1316196793
Name:MANKIND SUPPORT SERVICE INC
Entity Type:Organization
Organization Name:MANKIND SUPPORT SERVICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CANDY
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:POLLOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-354-5098
Mailing Address - Street 1:PO BOX 620672
Mailing Address - Street 2:
Mailing Address - City:MIDDLETON
Mailing Address - State:WI
Mailing Address - Zip Code:53562-0672
Mailing Address - Country:US
Mailing Address - Phone:608-354-5098
Mailing Address - Fax:608-824-0061
Practice Address - Street 1:4919 HICKORY TRL
Practice Address - Street 2:
Practice Address - City:MIDDLETON
Practice Address - State:WI
Practice Address - Zip Code:53562-4031
Practice Address - Country:US
Practice Address - Phone:608-354-5098
Practice Address - Fax:608-824-0061
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-10
Last Update Date:2008-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372500000XNursing Service Related ProvidersChore ProviderGroup - Multi-Specialty
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty