| NPI | 1801085022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARES FEHMI YASIN Doctor/Owner 414-336-5480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 251E00000X Home Health |
| 251F00000X Home Infusion | |
| 261QI0500X Clinic/Center, Infusion Therapy | |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2016-02-22 |