| NPI | 1487208294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA R RIECKMAN Bookkeeper 715-661-3650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 174200000X |
| 253Z00000X In Home Supportive Care | |
| 347C00000X Private Vehicle | |
| 372600000X Adult Companion | |
| 385H00000X Respite Care | |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2019-07-30 |