| NPI | 1083436497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA LOUISE PIPHUS Adminstrator 414-406-6710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 253Z00000X In Home Supportive Care | |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 251E00000X Home Health | |
| 385H00000X Respite Care | |
| Enumeration Date | 2024-10-28 |
| Last Update Date | 2025-04-30 |