| NPI | 1124647284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE M HARRIS Program Administrator 414-507-2975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2020-04-09 |
| Last Update Date | 2020-04-09 |