NPI | 1679920649 |
---|---|
Entity Type | Organization |
Authorized Contact | DYANA HELT President 414-349-7564 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: WI 257126) |
Additional Taxonomies | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: WI 257126) |
Enumeration Date | 2016-05-19 |
Last Update Date | 2016-05-19 |