| NPI | 1679970370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSLAND ANNETTE ANDERSON Administrator 414-290-7597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 305S00000X Point of Service |
| 385H00000X Respite Care | |
| Enumeration Date | 2014-11-24 |
| Last Update Date | 2021-08-31 |