| NPI | 1265668354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM TERESINSKI Owner 262-470-5388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: WI 0012742) |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2009-06-03 |