| NPI | 1174208565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA MICHELLE STERBA President 262-752-3620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 251B00000X Case Management |
| 251E00000X Home Health | |
| 251G00000X Hospice Care, Community Based | |
| 251T00000X PACE Provider Organization | |
| 253Z00000X In Home Supportive Care | |
| 261QA0005X Clinic/Center, Ambulatory Family Planning Facility | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| 320700000X Residential Treatment Facility, Physical Disabilities | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 342000000X Transportation Network Company | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 385H00000X Respite Care | |
| Enumeration Date | 2023-06-21 |
| Last Update Date | 2023-06-21 |