| NPI | 1033040100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARQUITA CLAY Lpn 414-940-0245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 385H00000X Respite Care | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2026-05-27 |
| Last Update Date | 2026-05-27 |