| 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 |