| NPI | 1326903444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA LATRICE WILSON Owner 414-731-2935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| 385H00000X Respite Care | |
| Enumeration Date | 2025-12-20 |
| Last Update Date | 2025-12-20 |