| NPI | 1043665805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RITA GILLESPIE Owner/Director 414-793-6611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2016-04-29 |
| Last Update Date | 2016-04-29 |