| NPI | 1477285484 |
|---|---|
| Doing Business As | HUMBLE LIVING ADULT FAMILY GROUP HOME LLC |
| Entity Type | Organization |
| Authorized Contact | VERSHAUNDA CAMPBELL Owner 262-239-1138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2022-06-28 |
| Last Update Date | 2022-06-28 |