NPI | 1265261440 |
---|---|
Entity Type | Organization |
Authorized Contact | SHUNTAYE DAVIS Owner 414-562-7841 |
Organization Subpart ? | No |
Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
Additional Taxonomies | 310400000X Assisted Living Facility |
3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
385H00000X Respite Care | |
Enumeration Date | 2024-07-29 |
Last Update Date | 2024-07-29 |