| NPI | 1770382095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALVES V BLAKE Admin 414-345-7781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| 177F00000X Lodging | |
| 251S00000X Community/Behavioral Health | |
| 251B00000X Case Management | |
| Enumeration Date | 2025-03-10 |
| Last Update Date | 2025-12-10 |