| NPI | 1629870712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEQUILLA DAWSON CEO 414-232-6268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251B00000X Case Management |
| 251K00000X Public Health or Welfare | |
| 253Z00000X In Home Supportive Care | |
| 302R00000X Health Maintenance Organization | |
| 305R00000X Preferred Provider Organization | |
| 305S00000X Point of Service | |
| 385H00000X Respite Care | |
| Enumeration Date | 2025-03-27 |
| Last Update Date | 2025-03-27 |