| NPI | 1356285712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESTINY C GREEN Owner 414-795-9761 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| 251E00000X Home Health | |
| 253Z00000X In Home Supportive Care | |
| 385H00000X Respite Care | |
| Enumeration Date | 2026-04-16 |
| Last Update Date | 2026-04-16 |