| NPI | 1225416175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KOUA F THAO Administrator 414-342-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: WI 100014873) |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2015-05-12 |