| NPI | 1730942913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIONNA MARIE HANEY Certified Nurse Assistant 414-722-1286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| 251T00000X PACE Provider Organization | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 385HR2050X Respite Care, Respite Care Camp | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2024-02-01 |
| Last Update Date | 2024-02-01 |