| NPI | 1225638794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNNIE MAE SIMMONS Owner 414-426-6829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician Personal Care Attendant |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2023-01-17 |