| NPI | 1215316088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TWANDA GATES Administrator 414-847-6330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: WI 10043014) |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2015-05-26 |