| NPI | 1417512260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEARLINE V THOMPSON Founder 414-315-2823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2019-05-07 |