NPI | 1376608083 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT E. FISCH President 262-656-0428 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: WI 152W00000X) |
Enumeration Date | 2006-12-22 |
Last Update Date | 2023-03-07 |