| NPI | 1851279756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYLAN TANG-NGUYEN Owner 920-544-3772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2025-08-26 |
| Last Update Date | 2025-08-27 |