| NPI | 1407286131 |
|---|---|
| Doing Business As | PERSONALIZED LIVING AT WILORA LAKE LODGE |
| Entity Type | Organization |
| Authorized Contact | MARK OHLENDORF President 414-918-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2013-11-15 |
| Last Update Date | 2013-11-15 |