| NPI | 1518708304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANISHA M MONROE Owner 414-817-4173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2024-06-05 |
| Last Update Date | 2024-06-05 |