| NPI | 1912545633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA ELAINE SHAURETTE Owner/Operator 920-755-0011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2019-12-12 |
| Last Update Date | 2019-12-12 |