| NPI | 1053401869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE PHILPOTT Administrator/Owner 608-238-8119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: WI 316) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2020-08-22 |