| NPI | 1689864944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN M MARSH Owner/Administrator 920-746-8998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: WI CBRF1303) |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2007-08-01 |