NPI | 1427533033 |
---|---|
Doing Business As | TONY'S PLACE |
Entity Type | Organization |
Authorized Contact | TIFFANY TEQUILA HUGHES Owner 414-531-3201 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
Enumeration Date | 2018-09-28 |
Last Update Date | 2018-09-28 |