NPI | 1427856970 |
---|---|
Entity Type | Organization |
Authorized Contact | KITANA KAHUE-HOO Owner/ Director 414-379-2431 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
Additional Taxonomies | 3747A0650X Technician, Attendant Care Provider |
Enumeration Date | 2025-03-03 |
Last Update Date | 2025-06-16 |