| NPI | 1912728197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON BUETSCH Owner 815-518-8633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 372600000X Adult Companion |
| 374700000X Technician | |
| 3747A0650X Technician, Attendant Care Provider | |
| 3747P1801X Technician, Personal Care Attendant | |
| 376J00000X Homemaker | |
| Enumeration Date | 2024-10-21 |
| Last Update Date | 2024-10-29 |