| NPI | 1881381242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIZZEL L LUCAS Owner 414-813-2943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 163WC1600X Registered Nurse, Continuing Education/Staff Development | |
| 171400000X Health & Wellness Coach | |
| 253Z00000X In Home Supportive Care | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| Enumeration Date | 2023-04-18 |
| Last Update Date | 2024-01-10 |