| NPI | 1568438265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERRY KYLES Onwer 414-372-0739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2020-08-22 |