NPI | 1922769025 |
---|---|
Entity Type | Organization |
Authorized Contact | EBONY K WALKER Director Of Operations 414-377-1738 |
Organization Subpart ? | No |
Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
Additional Taxonomies | 251B00000X Case Management |
251G00000X Hospice Care, Community Based | |
251K00000X Public Health or Welfare | |
261QR1300X Clinic/Center, Rural Health | |
332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
Enumeration Date | 2022-01-02 |
Last Update Date | 2022-01-02 |