| NPI | 1235818980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAQUILLA RENEE HANNON Owner 414-552-3291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 385H00000X Respite Care | |
| Enumeration Date | 2023-07-11 |
| Last Update Date | 2023-08-28 |