| NPI | 1083436497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA LOUISE PIPHUS Adminstrator 414-406-6710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| 385H00000X Respite Care | |
| Enumeration Date | 2024-10-28 |
| Last Update Date | 2024-11-26 |