| NPI | 1285520874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH CLAY-TERRELL Owner / Managing Member 262-800-5009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747A0650X Technician Attendant Care Provider |
| Enumeration Date | 2025-06-18 |
| Last Update Date | 2025-06-18 |