| NPI | 1285975326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOTKIA SHENEE DELAROSA Owner 414-254-8216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: WI 243369) |
| Enumeration Date | 2013-03-14 |
| Last Update Date | 2013-03-14 |