| NPI | 1295265684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LADIAMA JOHNSON Owner 414-915-6323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2025-02-08 |