| NPI | 1700689882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIZZIE BLAND Director 414-418-4410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251J00000X Nursing Care |
| 310400000X Assisted Living Facility | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2025-04-01 |
| Last Update Date | 2025-04-01 |