| NPI | 1497944045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY IDING Accounting Coordinator 414-289-6105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2007-10-19 |