| NPI | 1467860114 |
|---|---|
| Former Legal Business Name | OUTREACH HEALTH SERVICES OF WISCONSIN, LLC |
| Entity Type | Organization |
| Authorized Contact | TARA KATALINIC Compliance Analyst 480-295-3328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2014-07-25 |
| Last Update Date | 2023-08-01 |