| NPI | 1053426874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS FERGER Management Representative 414-546-7330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: WI 0010944) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2020-08-22 |