| NPI | 1306095377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY ANN BISKOBING President / Program Coordinator 262-335-3789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2008-09-15 |