| NPI | 1285055434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD CHAO VANG Administrator 414-916-1203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: WI PCA122) |
| Enumeration Date | 2013-12-13 |
| Last Update Date | 2013-12-13 |