| NPI | 1235095035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVANNI BOWERS Owner 414-614-5546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 320700000X Residential Treatment Facility, Physical Disabilities |
| 323P00000X Psychiatric Residential Treatment Facility | |
| 332100000X Department of Veterans Affairs (VA) Pharmacy | |
| 332U00000X Home Delivered Meals | |
| 3747A0650X Technician, Attendant Care Provider | |
| 3747P1801X Technician, Personal Care Attendant | |
| 177F00000X Lodging | |
| 251E00000X Home Health | |
| 310400000X Assisted Living Facility | |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 374U00000X Home Health Aide | |
| 174200000X Meals | |
| Enumeration Date | 2025-12-25 |
| Last Update Date | 2025-12-25 |