NPI | 1407037856 |
---|---|
Doing Business As | ABUNDANT LIFE MANOR |
Entity Type | Organization |
Authorized Contact | RUTH RYSHKE Administrator 414-257-4350 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
Enumeration Date | 2007-11-14 |
Last Update Date | 2007-11-14 |