| NPI | 1235814757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SELFKINGDOM ISALLAH Owner 414-671-9045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 332U00000X Home Delivered Meals |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2023-06-21 |
| Last Update Date | 2024-04-10 |