NPI | 1669297446 |
---|---|
Doing Business As | CENTER OF LIFE ADULT FAMILY HOME |
Entity Type | Organization |
Authorized Contact | SHAMIKO BROWN CEO 414-248-1766 |
Organization Subpart ? | No |
Primary Taxonomy | 253Z00000X In Home Supportive Care |
Enumeration Date | 2024-11-18 |
Last Update Date | 2024-11-18 |