| NPI | 1609761808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLIE DOSSOU HOUEGBE Owner 414-870-4925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| 251G00000X Hospice Care, Community Based | |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| 385H00000X Respite Care | |
| Enumeration Date | 2025-06-10 |
| Last Update Date | 2026-03-24 |