| NPI | 1659293058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAQUITTA DAMPEER Administrator/Sole 414-375-7020 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2026-07-28 |
| Last Update Date | 2026-07-30 |