| NPI | 1104942663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER A LEVONOWICH Vice President And Controller 262-257-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: IN 060049031) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2009-02-13 |