Provider Demographics
NPI:1780027227
Name:COMPLETE ACCESSIBLE READY ENVIRONMENTS
Entity type:Organization
Organization Name:COMPLETE ACCESSIBLE READY ENVIRONMENTS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:SHERI
Authorized Official - Middle Name:
Authorized Official - Last Name:REINHARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:262-210-0405
Mailing Address - Street 1:W188N9273 MAPLE RD
Mailing Address - Street 2:
Mailing Address - City:MENOMONEE FALLS
Mailing Address - State:WI
Mailing Address - Zip Code:53051-1339
Mailing Address - Country:US
Mailing Address - Phone:262-210-0405
Mailing Address - Fax:
Practice Address - Street 1:W188N9273 MAPLE RD
Practice Address - Street 2:
Practice Address - City:MENOMONEE FALLS
Practice Address - State:WI
Practice Address - Zip Code:53051-1339
Practice Address - Country:US
Practice Address - Phone:262-210-0405
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-15
Last Update Date:2013-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies