| NPI | 1205683737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDRYUNNA TAHQWELA TATE Owner 414-982-8738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 164W00000X Licensed Practical Nurse | |
| 246RP1900X Technician, Pathology Phlebotomy | |
| 251J00000X Nursing Care | |
| 253Z00000X In Home Supportive Care | |
| 372600000X Adult Companion | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2024-05-02 |
| Last Update Date | 2024-05-02 |