| NPI | 1457084394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BATENGA N OBUSEH Owner 608-210-9779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 174200000X |
| 177F00000X Lodging | |
| 251E00000X Home Health | |
| 251J00000X Nursing Care | |
| 251K00000X Public Health or Welfare | |
| 253Z00000X In Home Supportive Care | |
| 310400000X Assisted Living Facility | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| 385H00000X Respite Care | |
| Enumeration Date | 2022-07-07 |
| Last Update Date | 2022-08-08 |