| NPI | 1609264613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRIDA SENGE MUABE Home Health Aid 920-456-9792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: DC dc231456754) |
| Enumeration Date | 2014-12-27 |
| Last Update Date | 2014-12-27 |