NPI | 1184060626 |
---|---|
Entity Type | Organization |
Authorized Contact | DIDACUS UDEOJI President 414-376-4663 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: WI 0013796) |
Enumeration Date | 2013-05-10 |
Last Update Date | 2013-05-10 |