| NPI | 1033611678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE RENEE WASHINGTON Owner 414-588-6766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: WI 0016231) |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2018-02-28 |