| NPI | 1487391447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKESHA REID Owner 414-595-0449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X |
| 252Y00000X Early Intervention Provider Agency | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2022-05-19 |
| Last Update Date | 2022-05-19 |