| NPI | 1518714203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEJAN DRCA President 262-825-0869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 174200000X |
| 177F00000X Lodging | |
| 251E00000X Home Health | |
| Enumeration Date | 2024-05-01 |
| Last Update Date | 2024-05-01 |