| NPI | 1093872129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH JORDAN Administrator/Owner 414-444-4822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: WI 76074593-7) |
| Enumeration Date | 2007-01-01 |
| Last Update Date | 2022-03-21 |