| NPI | 1538052287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN PEREZ MALDONADO Owner Member 414-208-4404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2025-06-02 |
| Last Update Date | 2025-06-02 |