| NPI | 1336920602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUWANIA A KEYS Sub Administrator 414-748-0307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2023-10-11 |
| Last Update Date | 2023-10-11 |