| NPI | 1548932395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TISHA NICOLE ANDERSON Administrator 414-629-7061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2021-09-30 |
| Last Update Date | 2021-10-08 |