| NPI | 1013248657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTY JEAN WRIGHT Owner 414-793-4066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: AR 34233) |
| Enumeration Date | 2010-01-21 |
| Last Update Date | 2010-01-21 |