NPI | 1740915883 |
---|---|
Entity Type | Organization |
Authorized Contact | LAKISHA DILWORTH Owner/Administrator 262-720-2552 |
Organization Subpart ? | No |
Primary Taxonomy | 163WH0200X Registered Nurse, Home Health |
Additional Taxonomies | 251E00000X Home Health |
253Z00000X In Home Supportive Care | |
385H00000X Respite Care | |
Enumeration Date | 2022-07-22 |
Last Update Date | 2024-12-19 |