NPI | 1366269938 |
---|---|
Entity Type | Organization |
Authorized Contact | ALEXIS G MCCARTY Owner 414-554-8581 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility |
Additional Taxonomies | 311ZA0620X Custodial Care Facility Adult Care Home |
Enumeration Date | 2024-09-24 |
Last Update Date | 2025-07-14 |