| NPI | 1437954393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAITLYN JENIKE Owner 774-464-3268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2025-02-14 |
| Last Update Date | 2025-02-14 |