| 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 | 385H00000X Respite Care |
| Enumeration Date | 2025-06-10 |
| Last Update Date | 2025-06-10 |