| NPI | 1962123430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS ABRAHAM THOMAS Owner 715-563-8694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2022-09-02 |
| Last Update Date | 2024-05-29 |