| NPI | 1518259183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA MURPHY Owner 414-793-2596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) (Licence: WI 0022133) |
| Enumeration Date | 2011-05-13 |
| Last Update Date | 2011-05-13 |