| NPI | 1083705966 |
|---|---|
| Former Legal Business Name | TKO HOME CARE LLC |
| Entity Type | Organization |
| Authorized Contact | KEMBA BANYARD Administrator 414-616-8920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: WI 1052) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2008-02-29 |