| NPI | 1669260808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYLA CHARLENE VAN CLEVE Owner 715-902-0848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 251J00000X Nursing Care |
| 385H00000X Respite Care | |
| Enumeration Date | 2025-04-28 |
| Last Update Date | 2025-04-28 |