| NPI | 1063938264 |
|---|---|
| Doing Business As | MIDWEST EMINENCE CARE |
| Entity Type | Organization |
| Authorized Contact | CRYSTAL AVERY Administrator 262-789-2759 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Enumeration Date | 2017-08-18 |
| Last Update Date | 2023-08-17 |