| NPI | 1174490536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVIDA CLIFTON Owner 414-309-3213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 310400000X Assisted Living Facility | |
| 385H00000X Respite Care | |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| Enumeration Date | 2025-10-21 |
| Last Update Date | 2025-10-24 |