| NPI | 1942585567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN MARIE RISTOW CEO/O 920-257-4383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: WI 372600000X) |
| Additional Taxonomies | 251E00000X Home Health (Licence: WI 1000017393) |
| 251E00000X Home Health (Licence: WI 164W00000X) | |
| 251E00000X Home Health (Licence: WI 376K00000X) | |
| 251E00000X Home Health (Licence: WI 372600000X) | |
| 253Z00000X In Home Supportive Care (Licence: WI 37400000X) | |
| 253Z00000X In Home Supportive Care (Licence: WI 376J00000X) | |
| Enumeration Date | 2011-10-14 |
| Last Update Date | 2011-10-14 |