| NPI | 1437879004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELANY VANITA GRANT Administrator/Owner/CEO 262-366-4593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2022-09-01 |
| Last Update Date | 2022-09-01 |