NPI | 1033566567 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBRA RENA YOUNG Owner 414-803-9966 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: WI 0016063) |
Enumeration Date | 2016-05-13 |
Last Update Date | 2016-05-13 |