NPI | 1831675578 |
---|---|
Doing Business As | N/A |
Entity Type | Organization |
Authorized Contact | KATHY WALUSAYI Administrator 414-520-1977 |
Organization Subpart ? | No |
Primary Taxonomy | 253Z00000X In Home Supportive Care |
Enumeration Date | 2018-07-16 |
Last Update Date | 2018-07-16 |