| NPI | 1538941075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT B AWOSIKA Director 414-324-8244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2023-10-18 |
| Last Update Date | 2024-03-05 |