| NPI | 1306425392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA MARIA OWENS Owner 414-334-3030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| 311ZA0620X Custodial Care Facility Adult Care Home | |
| 343800000X Secured Medical Transport (VAN) | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2021-04-06 |
| Last Update Date | 2024-08-15 |