| NPI | 1245748847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY OBED PENA Assistant Administrator 414-585-0083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: WI 100035439) |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2018-01-17 |