| NPI | 1487432464 |
|---|---|
| Former Legal Business Name | WISCONSIN SUPPORT SERVICES LLC |
| Entity Type | Organization |
| Authorized Contact | DEVON D NELSON Owner 608-867-3160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2023-09-20 |
| Last Update Date | 2023-09-20 |