| NPI | 1861920324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRASHANDA CLEVELAND CFO/Administrator 414-366-4514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251B00000X Case Management |
| 251E00000X Home Health | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2017-05-30 |
| Last Update Date | 2017-05-30 |