| NPI | 1659183051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY ADAMS Administrator 414-364-8202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| 385H00000X Respite Care | |
| Enumeration Date | 2025-01-22 |
| Last Update Date | 2025-01-22 |