| NPI | 1982326351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARESA A S OWENS Owner Cna 414-737-1042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide |
| Additional Taxonomies | 251E00000X Home Health |
| 385H00000X Respite Care | |
| Enumeration Date | 2022-09-13 |
| Last Update Date | 2022-09-13 |