| NPI | 1275231037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYI S MESSANVI Administrator 608-906-2037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2023-02-21 |
| Last Update Date | 2023-02-21 |