| NPI | 1346746906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY L EDWARDS Administrator/Registered Nurse 414-881-3174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: WI 153487-30) |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2019-05-30 |