| NPI | 1851148217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN SMITH Owner 414-388-0728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2024-05-03 |
| Last Update Date | 2024-09-10 |