| NPI | 1043733710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDNA M HUDSON-KINZEY Provider 414-522-0417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse Home Health (Licence: WI 124990) |
| Additional Taxonomies | 163WH0200X Registered Nurse Home Health (Licence: IL 041338963) |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2021-01-05 |