| NPI | 1174701502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH LYNN ROEGNER Administrative Secretary 262-644-8035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: WI 0009058) |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2008-02-07 |