| NPI | 1609725571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAKELIA YEGGER Owner 414-899-9474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| 385H00000X Respite Care | |
| Enumeration Date | 2026-01-24 |
| Last Update Date | 2026-01-24 |