| NPI | 1982972360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE HUMPHRIE Owner 414-304-4883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251300000X Local Education Agency (LEA) |
| 251G00000X Hospice Care, Community Based | |
| 252Y00000X Early Intervention Provider Agency | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2011-12-13 |