| NPI | 1053070003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALIKA A NICKELSON Chief Of Operations 414-739-7587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2021-12-16 |
| Last Update Date | 2022-03-23 |