| NPI | 1497119564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM ELLIS Administrator 414-481-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2016-04-05 |