| NPI | 1992637136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE DAVIS Owner 262-997-8066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 342000000X Transportation Network Company | |
| Enumeration Date | 2026-06-02 |
| Last Update Date | 2026-06-02 |