Provider Demographics
NPI:1477930592
Name:GARTH POINT GROUP, INC,.
Entity Type:Organization
Organization Name:GARTH POINT GROUP, INC,.
Other - Org Name:101 MOBILITY OF NORTHEAST WISCONSIN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARY LYNN
Authorized Official - Middle Name:
Authorized Official - Last Name:LARSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:920-766-7033
Mailing Address - Street 1:2701 N ALEXANDER ST
Mailing Address - Street 2:
Mailing Address - City:APPLETON
Mailing Address - State:WI
Mailing Address - Zip Code:54911-2312
Mailing Address - Country:US
Mailing Address - Phone:920-766-7033
Mailing Address - Fax:
Practice Address - Street 1:2701 N ALEXANDER ST
Practice Address - Street 2:
Practice Address - City:APPLETON
Practice Address - State:WI
Practice Address - Zip Code:54911-2312
Practice Address - Country:US
Practice Address - Phone:920-766-7033
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-27
Last Update Date:2015-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies