| NPI | 1336528629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT KAY TURNER Member 262-412-4002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: WI 0014539) |
| Additional Taxonomies | 311500000X Alzheimer Center (Dementia Center) (Licence: WI 0015292) |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2015-05-20 |