| NPI | 1104515048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA IVERSON General Manager 715-281-7965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2023-05-05 |
| Last Update Date | 2024-05-01 |