| NPI | 1669971933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATRONDA JONES Owner 414-702-8766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2025-07-02 |