| NPI | 1710113311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY LORRAINE EDWARDS Registered Nurse 414-610-1915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251F00000X Home Infusion |
| 251J00000X Nursing Care | |
| 252Y00000X Early Intervention Provider Agency | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2009-06-09 |