| NPI | 1427387661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROXANNE MARIA REEVES Administrator 920-257-2573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: WI 0012777) |
| Enumeration Date | 2009-12-17 |
| Last Update Date | 2009-12-17 |