| NPI | 1629955489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TATYANA BABAKHANOV Partner 414-899-2365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2025-08-21 |
| Last Update Date | 2025-09-25 |