| NPI | 1588051429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAO HER XIONG Billing Manager 414-277-8859 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: WI 0009129) |
| Enumeration Date | 2015-04-17 |
| Last Update Date | 2022-09-27 |